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Miss KAMBRIELLE ALISSA HUDSON MSW

Individual Provider (NPI-1) Active

Counselor, Mental Health

Provider Information

NPI Number
1477394559
Provider Type
Individual Provider (NPI-1)
Credentials
MSW
Status
Active

Contact & Location

Address
3501 W ELDER ST, BOISE, ID, 837054986
Phone
(208) 286-1529
Fax
(208) 445-2285

Specialties & Taxonomies

Counselor, Mental Health Primary License: ID #LMSW-45247

All Addresses

MAILING

3 N 725 W

BLACKFOOT, ID, 832215341

(208) 516-6108

LOCATION

3501 W ELDER ST

BOISE, ID, 837054986

(208) 286-1529