Individual
JEREMY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, QMHP, LAC
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5255
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(605) 718-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LCPC-9460
ID
Other
Enumeration date
05/13/2015
Last updated
03/04/2025
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