Individual
KRISTINA LARAE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CEDS
Contact information
Practice address
39 E STATE AVE, MERIDIAN, ID 83642-2342
(208) 392-2762
(208) 247-0873
Mailing address
39 E STATE AVE, MERIDIAN, ID 83642-2342
(208) 392-2762
(208) 247-0873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3202
ID
101YM0800X
Mental Health Counselor
Primary
4502
ID
Other
Enumeration date
04/10/2008
Last updated
02/26/2024
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