Individual
DAWN MARIE KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2976 E STATE ST STE 120, UNIT #2079, EAGLE, ID 83616-6394
(208) 807-3270
Mailing address
2976 E STATE ST STE 120, UNIT #2079, EAGLE, ID 83616-6394
(208) 807-3270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8241742
ID
101YM0800X
Mental Health Counselor
Primary
COUI-9835
ID
Other
Enumeration date
12/22/2023
Last updated
06/15/2026
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