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Individual

ROSEMARY THAIR KELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
141 CITATION WAY UNIT 6, HAILEY, ID 83333-5104
(208) 788-0146
(208) 788-1210
Mailing address
PO BOX 4680, KETCHUM, ID 83340-4697
(208) 928-7181

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3954
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942301106
ID
Enumeration date
03/05/2019
Last updated
06/11/2019
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