Individual
KATHLEEN A. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCP
Contact information
Practice address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Mailing address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-199
ID
1041S0200X
School Social Worker
Primary
LSW-558
ID
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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