Individual
KRISTEN GERMAIN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(208) 884-1705
(208) 884-5120
Mailing address
5175 W TOURNAMENT DR, MERIDIAN, ID 83646-8813
(208) 884-1705
(208) 884-5120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4009
ID
Other
Enumeration date
01/16/2008
Last updated
07/22/2008
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