Individual
KARA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
9196 W BARNES ST., BOISE, ID 83709
(208) 433-0400
Mailing address
9196 W BARNES ST., BOISE, ID 83709
(208) 433-0400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11586
ID
104100000X
Social Worker
LSW-34811
ID
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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