Individual
KELSEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1620 NORTHWEST BLVD STE 201, COEUR D ALENE, ID 83814-2488
(208) 254-0832
Mailing address
2980 N COUNTRY LN, COEUR D ALENE, ID 83814-2002
(208) 582-0432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9864
ID
101YM0800X
Mental Health Counselor
Primary
9864
ID
101YP2500X
Professional Counselor
9864
ID
Other
Enumeration date
09/15/2023
Last updated
12/20/2024
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