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Individual

KELSEY LAUREN ZACAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, ADC

Contact information

Practice address
509 S MIDDLETON RD, MIDDLETON, ID 83644-6046
(208) 683-8320
(208) 969-8380
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-5077
ID
101YM0800X
Mental Health Counselor
LMSW-4471144
ID
104100000X
Social Worker
Primary
LMSW-4471144
ID

Other

Enumeration date
07/08/2024
Last updated
07/21/2025
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