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Individual

KATHLEEN A WEATHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1550 S CLOVERDALE RD STE 201, BOISE, ID 83709-1128
(208) 577-1262
(208) 247-0585
Mailing address
1550 S CLOVERDALE RD STE 201, BOISE, ID 83709-1128
(208) 577-1262
(208) 247-0585

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8484
ID

Other

Enumeration date
09/26/2019
Last updated
12/01/2023
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