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Individual

DR. KALIN AMENDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LPC, PCLC

Contact information

Practice address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 691-1538
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
BBH-PCLC-LIC-51949
MT
101Y00000X
Counselor
Primary
LCPC-9739
ID

Other

Enumeration date
06/13/2022
Last updated
04/28/2025
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