Individual
KIMBERLY ANN FAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC LAT
Contact information
Practice address
378 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 293-8062
(208) 293-8082
Mailing address
378 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 293-8062
(208) 293-8082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC 5870
ID
101Y00000X
Counselor
LPC732
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT 269
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCPC 5870
ID
101YM0800X
Mental Health Counselor
LAT 269
WY
101YM0800X
Mental Health Counselor
LCPC 5870
ID
101YM0800X
Mental Health Counselor
LPC 732
WY
101YP2500X
Professional Counselor
LCPC 5870
ID
101YP2500X
Professional Counselor
Primary
LPC 732
WY
Other
Enumeration date
01/15/2009
Last updated
10/12/2015
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