Individual
KIMBERLY LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,
Contact information
Practice address
353 E LANDER ST, POCATELLO, ID 83201-6314
(208) 261-2131
(208) 273-3856
Mailing address
PO BOX 634, REXBURG, ID 83440-0634
(208) 026-1213
(208) 273-3856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7701
ID
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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