Individual
SPENCER KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
980 BURLEY AVE, BUHL, ID 83316-1849
(208) 814-9150
(208) 814-9151
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6155-C
NV
1041C0700X
Clinical Social Worker
LCSW-31119
ID
Other
Enumeration date
04/13/2015
Last updated
06/23/2025
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