Individual
JEAN MARIE KUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
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
101YM0800X
Mental Health Counselor
3874
ID
101YP2500X
Professional Counselor
Primary
LCPC4891
ID
Other
Enumeration date
10/22/2007
Last updated
12/01/2023
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