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KELLY ANTHONY MA, MEd

Individual Provider (NPI-1) Active

Counselor, Mental Health

Provider Information

NPI Number
1902334881
Provider Type
Individual Provider (NPI-1)
Credentials
MA, MEd
Status
Active

Contact & Location

Address
784 S CLEARWATER LOOP, POST FALLS, ID, 838549599
Phone
(208) 557-1338

Specialties & Taxonomies

Counselor License: ID #LCPC-8292
Counselor License: OR #LPC-C5413
Counselor, Mental Health Primary

All Addresses

LOCATION

784 S CLEARWATER LOOP

POST FALLS, ID, 838549599

(208) 557-1338

MAILING

1275 APPLE ORCHARD DR

POCATELLO, ID, 832047323

(208) 557-1338