Individual
KARIN ELAINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 465-5433
Mailing address
11980 W BOWMONT ST, BOISE, ID 83713-6601
(208) 830-8342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8461973
ID
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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