Individual
MS. PENNIE JEANINE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C., L.M.
Contact information
Practice address
300 S 23RD ST, BOISE, ID 83702-9100
(208) 344-3512
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 721-5140
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-244
ID
101YM0800X
Mental Health Counselor
244
ID
106H00000X
Marriage & Family Therapist
2936
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017356
BLUE SHIELD
ID
01
—
259420
MANAGED HEALTH NETWORK
ID
01
—
Q5779
BLUE CROSS
ID
Enumeration date
10/16/2006
Last updated
05/21/2026
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