Individual
JENIFER KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19 W CALIFORNIA AVE, HOMEDALE, ID 83628-3030
(208) 697-4836
Mailing address
19 W CALIFORNIA AVE, HOMEDALE, ID 83628-3030
(208) 697-4836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5034
ID
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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