Individual
MRS. KAYLA JOE CRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
295 N 3855 E, RIGBY, ID 83442-5124
(208) 745-5205
Mailing address
500 MAURINE ST, IDAHO FALLS, ID 83401-4620
(208) 681-9443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-40667
ID
104100000X
Social Worker
LMSW-40667
ID
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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