Individual
KODY K ALDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
242 E 7TH N STE 4, REXBURG, ID 83440-3550
(208) 359-9683
Mailing address
953 E MOODY RD, SUGAR CITY, ID 83448-5055
(208) 573-7300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3561677
ID
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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