Individual
MR. KEVIN JOSEPH KERVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
109 W HONEYSUCKLE AVE UNIT 3414, HAYDEN, ID 83835-9910
(603) 897-5504
Mailing address
109 W HONEYSUCKLE AVE UNIT 3414, HAYDEN, ID 83835-9910
(603) 897-5504
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-8157
ID
171400000X
Health & Wellness Coach
8187
ID
Other
Enumeration date
12/20/2006
Last updated
12/04/2025
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