Individual
KRYSTIN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
3679 N WILLOWBAR WAY, GARDEN CITY, ID 83714-6566
(480) 251-4123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9597
ID
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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