Individual
KERRI CORLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7813
Mailing address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5284
ID
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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