Individual
KELLY JIANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1970 E 17TH ST STE 111A, IDAHO FALLS, ID 83404-8046
(208) 557-1517
Mailing address
1970 E 17TH ST STE 111A, IDAHO FALLS, ID 83404-8046
(208) 557-1517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
02/16/2025
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