Individual
MS. KATHLEEN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
4601 S MUSTANG CREEK LN, BOISE, ID 83709-5075
(208) 870-2235
Mailing address
4601 S MUSTANG CREEK LN, BOISE, ID 83709-5075
(208) 870-2235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
277
ID
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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