Individual
KRISTEN FRANCINE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2530 S MILL POINT LN, BOISE, ID 83712-8511
(775) 420-0566
Mailing address
2530 S MILL POINT LN, BOISE, ID 83712-8511
(775) 420-0566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4761177
ID
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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