Individual
KATHRINE DAWN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1070 HILINE RD, SUITE 210, POCATELLO, ID 83201-2947
(208) 478-9081
(208) 478-4999
Mailing address
1070 HILINE RD, SUITE 210, POCATELLO, ID 83201-2947
(208) 478-9081
(208) 478-4999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW - 31673
ID
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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