Individual
KATHLEEN COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CT
Contact information
Practice address
1426 ADDISON AVE E STE A, TWIN FALLS, ID 83301-5202
(208) 280-0365
(208) 549-7253
Mailing address
466 FEATHER AVE, TWIN FALLS, ID 83301-4770
(208) 280-0365
(208) 549-7253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
11/20/2018
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