Individual
KAELA HAYCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
250 NORTHWEST BLVD STE 107A, COEUR D ALENE, ID 83814-2971
(208) 610-3561
Mailing address
250 NORTHWEST BLVD STE 107A, COEUR D ALENE, ID 83814-2971
(208) 610-3561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5729
ID
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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