KENNA BOLEN LPC, CM, CBRS
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1013885045- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC, CM, CBRS
- Status
- Active
Contact & Location
- Address
- 148 S COLE RD, BOISE, ID, 837090932
- Phone
- (208) 683-8320
Specialties & Taxonomies
Case Manager/Care Coordinator
License: ID
Counselor, Professional
License: ID
Counselor, Mental Health
Primary License: ID