Individual
KYRSTIN CHELYN TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13900 W WAINWRIGHT DR STE 101E, BOISE, ID 83713-5028
(208) 917-3147
Mailing address
3079 W DIVIDE CREEK DR, MERIDIAN, ID 83646-5665
(208) 724-8123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7461473
ID
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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