Individual
KIRA JEAN BURGESS-ELMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1105 2ND ST S STE 100, NAMPA, ID 83651-3911
(208) 488-2557
Mailing address
PO BOX 527, NAMPA, ID 83653-0527
(208) 488-2557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6287
ID
Other
Enumeration date
08/13/2016
Last updated
12/02/2018
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