Individual
KARA RENEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1310 W HAYS ST, BOISE, ID 83702-5025
(208) 803-5339
Mailing address
1310 W HAYS ST, BOISE, ID 83702-5025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3461277
ID
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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