Individual
KELLI A BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., NCC, LCPC-S
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5276
SC
101YM0800X
Mental Health Counselor
Primary
7518
ID
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/29/2008
Last updated
08/06/2024
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