Individual
KASSIDY NEIGHBORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
42421
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZF396428D
LICENSE NUMBER
ID
Enumeration date
07/05/2022
Last updated
07/05/2022
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