Individual
KELSIE ROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 SPRUCE ST, UNIT 303, KETCHUM, ID 83340
(208) 450-3720
Mailing address
316 W BULLION ST, HAILEY, ID 83333-8476
(314) 278-7540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10376
ID
101Y00000X
Counselor
—
—
Other
Enumeration date
09/25/2019
Last updated
07/16/2024
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