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Individual

KEELY ELISE ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
429 SW 5TH AVE STE 110, MERIDIAN, ID 83642-5037
(208) 800-9599
(208) 277-1817
Mailing address
4665 S ALMA AVE, MERIDIAN, ID 83642-9168
(208) 800-9599
(208) 277-1817

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6157
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740570704
ID
Enumeration date
04/12/2011
Last updated
08/16/2025
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