Individual
DR. PHYLLIS V MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 N LATAH ST # C, BOISE, ID 83706-2624
(707) 364-2425
Mailing address
106 N LATAH ST # C, BOISE, ID 83706-2624
(208) 918-2810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7171675
ID
101YM0800X
Mental Health Counselor
Primary
7171675
ID
Other
Enumeration date
08/12/2010
Last updated
02/18/2026
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