Individual
HEIDI LEE KOEPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 W 18TH ST, BURLEY, ID 83318-2422
(208) 572-0074
Mailing address
23 W 200 S, BURLEY, ID 83318-6602
(208) 219-4560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6071260
ID
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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