Individual
KATHERINE WALLACE LEBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1109 N 21ST ST, BOISE, ID 83702-3218
(208) 340-5622
Mailing address
1109 N 21ST ST, BOISE, ID 83702-3218
(208) 340-5622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6155
ID
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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