Individual
KIMBERLY R KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CS
Contact information
Practice address
3050 N LAKEHARBOR LN STE 248, BOISE, ID 83703-6281
(208) 991-4696
(208) 902-3728
Mailing address
3050 N LAKEHARBOR LN STE 248, BOISE, ID 83703-6281
(208) 991-4696
(208) 902-3728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4754
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
1141008
ID
101YM0800X
Mental Health Counselor
Primary
5497
ID
Other
Enumeration date
02/02/2007
Last updated
01/08/2024
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