Individual
KATHRYN LATHAM STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
125 COMMERCE ST STE B, MCCALL, ID 83638-5192
(208) 634-2962
Mailing address
125 COMMERCE ST STE B, MCCALL, ID 83638-5192
(949) 395-2063
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-6984
ID
106H00000X
Marriage & Family Therapist
MFC 40587
CA
Other
Enumeration date
10/06/2006
Last updated
05/06/2022
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