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Individual

KRISTA DOUBLEDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1601
Mailing address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1601

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6985
ID

Other

Enumeration date
06/28/2018
Last updated
01/10/2019
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