Individual
MR. KERRY SEAN HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
223 N 6TH ST STE 425, BOISE, ID 83702-6085
(208) 841-8860
Mailing address
8525 W FAIRVIEW AVE APT 308, BOISE, ID 83704-8584
(208) 841-8860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9573
ID
Other
Enumeration date
05/25/2023
Last updated
10/17/2025
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