Individual
ERIC ROBERT KAFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5971
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5409
ID
101YP2500X
Professional Counselor
LPC-3636
ID
Other
Enumeration date
07/26/2013
Last updated
12/04/2023
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