Individual
KAYLA FRODSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3753 N NORTH ST APT H-302, BOISE, ID 83703-6523
(208) 890-6917
Mailing address
3753 N NORTH ST # H-302, BOISE, ID 83703-6523
(208) 890-6917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
SE-203754
ID
Other
Enumeration date
01/14/2016
Last updated
01/30/2023
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