Pierce, Kelsey Kathleen

Pierce, Kelsey Kathleen is an individual health care provider with primary practice located at 110 S 19Th Ave , Pocatello ID 83201-3312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pierce, Kelsey Kathleen can be contacted via phone (208) 234-4722.

Contact Information

Primary practice address
110 S 19Th Ave Pocatello ID 83201-3312
Phone: (208) 234-4722
Fax: (208) 234-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC-5977 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-5977 Idaho

Profile Details

NPI number 1568847671
LBN Legal business name Pierce, Kelsey Kathleen
Credentials M.COUN, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568847671 NPPES
Idaho Other LPC-5977 STATE LPC NUMBER

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