Individual
KIMBERLY B BERNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
850 E CENTER ST, STE A, POCATELLO, ID 83201-6211
(208) 243-9308
(208) 844-9574
Mailing address
P O BOX 4571, POCATELLO, ID 83205
(208) 243-9308
(208) 544-9574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6437
ID
Other
Enumeration date
07/26/2011
Last updated
08/08/2024
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