Individual
KATHERINE ELIZABETH MEDINA-GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
695 S EL BLANCO DR, BOISE, ID 83709-0423
(208) 440-3744
Mailing address
8675 W ARDENE ST, BOISE, ID 83709-2601
(208) 780-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5011
ID
Other
Enumeration date
02/18/2013
Last updated
09/29/2025
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