Individual
KELSEY MICHELLE BREEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4144 E AMITY AVE, MERIDIAN, ID 83687-8802
(208) 960-7160
Mailing address
4362 E BELFAST BAY DR, MERIDIAN, ID 83642-6058
(208) 608-4142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC8224
ID
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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