Individual
KINSEY ELORA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709-2601
(208) 780-3900
(208) 321-5069
Mailing address
PO BOX 16820, BOISE, ID 83715-6820
(208) 323-9130
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5327
ID
Other
Enumeration date
08/22/2011
Last updated
12/21/2023
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