Organization
KUTY INC
Active
Other names
Mind Body Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MARIE KUTY LCPC, LAC (PRESIDENT)
(208) 353-6151
Entity
Organization
Contact information
Practice address
7514 N PEPPERMILL WAY, BOISE, ID 83714-2158
(208) 353-6151
Mailing address
7514 N PEPPERMILL WAY, BOISE, ID 83714-2158
(208) 353-6151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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