Organization
CHRISTY KELSHAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY KELSHAW MACOUN, LCPC (COUNSELOR)
(208) 478-4642
Entity
Organization
Contact information
Practice address
845 W CENTER ST, SUITE C, POCATELLO, ID 83204-4205
(208) 478-4642
(208) 232-8001
Mailing address
845 W CENTER ST, SUITE C, POCATELLO, ID 83204-4205
(208) 478-4642
(208) 232-8001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-2812
ID
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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