Individual
KRISTINA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
342 W 1ST S APT 902, REXBURG, ID 83440-5296
(208) 390-1477
Mailing address
342 W 1ST S APT 902, REXBURG, ID 83440-5296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42500
ID
Other
Enumeration date
10/19/2022
Last updated
10/22/2025
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