Individual
KENDRA KELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1407 N 13TH ST, BOISE, ID 83702-3531
(208) 918-2019
Mailing address
1407 N 13TH ST, BOISE, ID 83702-3531
(208) 918-2019
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFTA-8585
ID
Other
Enumeration date
12/29/2021
Last updated
10/23/2023
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