Individual
CHARISSA KESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10091 W CAMPVILLE ST, BOISE, ID 83709-1589
(360) 798-1967
Mailing address
10091 W CAMPVILLE ST, BOISE, ID 83709-1589
(360) 798-1967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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