Individual
KIMBERLY ANN STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 S 9TH AVE STE 103, CALDWELL, ID 83605-5072
(208) 454-2144
(208) 454-2149
Mailing address
524 S 9TH AVE STE 103, CALDWELL, ID 83605-5072
(208) 454-2144
(208) 454-2149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6699
ID
Other
Enumeration date
03/31/2017
Last updated
10/09/2017
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