Individual
WENDY KOHNTOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
1061 BLUE LAKES BLVD N, SUITE 104, TWIN FALLS, ID 83301-3362
(208) 734-0407
Mailing address
3646 N 2100 E, FILER, ID 83328-5674
(208) 539-3593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-1096
ID
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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