Individual
MR. KAIUS ALEXANDER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2275 W BROADWAY ST, IDAHO FALLS, ID 83402-2902
(208) 479-8192
Mailing address
2537 S 4000 W, REXBURG, ID 83440-3948
(208) 479-8192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10577
ID
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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