Individual
KRYSTAL LYNN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
(208) 505-2950
(208) 505-2955
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
146126
CA
106H00000X
Marriage & Family Therapist
Primary
2061075
ID
Other
Enumeration date
11/22/2022
Last updated
05/08/2025
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