Individual
KANDI MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2590 S 2000 W STE 4, REXBURG, ID 83440-4028
(208) 948-3423
Mailing address
2590 S 2000 W STE 4, REXBURG, ID 83440-4028
(208) 948-3423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-7239
ID
Other
Enumeration date
10/14/2018
Last updated
05/15/2025
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