Organization
GENESIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN LEWIS CPC (MANAGER)
(208) 375-7777
Entity
Organization
Contact information
Practice address
1327 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 375-7777
(208) 375-7598
Mailing address
1327 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 375-7777
(208) 375-7598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5901
ID
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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