Individual
KHALI BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
531 E 5TH ST UNIT 3, BURLEY, ID 83318-1402
(208) 312-0470
(208) 678-3556
Mailing address
PO BOX 969, BURLEY, ID 83318-0969
(208) 312-0470
(208) 678-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3490
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7335
BLUE CROSS
ID
Enumeration date
04/09/2007
Last updated
10/06/2025
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