Individual
KARI Y WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 N 7TH AVE, POCATELLO, ID 83201-5785
(208) 221-9854
Mailing address
346 TREATY HWY, POCATELLO, ID 83202-7051
(208) 221-9854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC-8035
ID
Other
Enumeration date
10/15/2020
Last updated
03/01/2021
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