Individual
CRISTY KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9494 N GOVERNMENT WAY # 202, HAYDEN, ID 83835-9848
(208) 315-9321
Mailing address
9494 N GOVERNMENT WAY # 202, HAYDEN, ID 83835-9848
(208) 315-9321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40006
ID
Other
Enumeration date
08/29/2018
Last updated
02/26/2024
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