Individual
KATHRYN BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 S MIKE ST, BOISE, ID 83705-1551
(626) 833-8393
Mailing address
59 S MIKE ST, BOISE, ID 83705-1551
(626) 833-8393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
LPC-6811
ID
101YP2500X
Professional Counselor
6811
ID
Other
Enumeration date
08/26/2015
Last updated
03/12/2021
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