Organization
KIMBERLY LEDWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY O LEDWA LCPC, ACADC (OWNER/COUNSELOR SUPERVISOR)
(208) 376-5683
Entity
Organization
Contact information
Practice address
2971 E COPPER POINT DR STE 100, MERIDIAN, ID 83642-9276
(208) 376-5683
(208) 376-5690
Mailing address
2971 E COPPER POINT DR STE 100, MERIDIAN, ID 83642-9276
(208) 376-5683
(208) 376-5690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5328
ID
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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