Individual
KAITLYN MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
950 W BANNOCK ST, BOISE, ID 83702-5999
(323) 205-7088
(866) 280-0260
Mailing address
950 W BANNOCK ST, BOISE, ID 83702-5999
(833) 419-0181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8331425
ID
Other
Enumeration date
09/22/2022
Last updated
01/15/2026
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