Individual
MRS. KATHLENE FAY PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC393
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010137221
BLUE SHIELD
ID
01
—
Q3063
BLUE CROSS
ID
Enumeration date
07/27/2006
Last updated
07/09/2007
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