Individual
KERSTEN KYRAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E RIVERPARK LN STE 125, BOISE, ID 83706-6661
(208) 570-3700
Mailing address
1534 W HEARTLAND DR UNIT C102, KUNA, ID 83634-2955
(208) 570-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7055
ID
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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