Individual
MS. KIMBERLY JEAN WOODMANSEE-DOPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, MAC
Contact information
Practice address
808 EASTLAND DR, SUITE D, TWIN FALLS, ID 83301-6813
(208) 539-5090
(208) 878-3424
Mailing address
139 RIVER VISTA PL STE 201, TWIN FALLS, ID 83301-3060
(208) 242-4370
(208) 734-3534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC23903
ID
101YP2500X
Professional Counselor
4822
ID
101YP2500X
Professional Counselor
Primary
LCPC4822
ID
Other
Enumeration date
10/03/2012
Last updated
07/14/2023
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