Individual
RICHIE LYNN KUIPERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.COUN
Contact information
Practice address
1070 RIVERWALK DR STE 262, IDAHO FALLS, ID 83402-3343
(208) 557-3507
Mailing address
2705 E 17TH ST STE A, AMMON, ID 83406-6601
(208) 351-9455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6281
ID
Other
Enumeration date
05/27/2009
Last updated
07/10/2023
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