Individual
KURT D. LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
337 JOEL, CHUBBUCK, ID 83202
(208) 380-2842
Mailing address
337 JOEL ST, CHUBBUCK, ID 83202-2084
(208) 380-2842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
33555
ID
1041C0700X
Clinical Social Worker
Primary
36509
ID
Other
Enumeration date
01/27/2014
Last updated
01/11/2021
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