Individual provider · Type 1 NPI
Kelly Steven Piersanti, LPC
Professional Counselor · Malad City, ID
NPI number
1003113390
Active
Practice location
44 N Main St
Malad City, ID 83252-1200
Mailing address
2646 N 1575 E
Layton, UT 84040-8508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-4594 (ID) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Malad City
About NPI 1003113390
Kelly Steven Piersanti, LPC's National Provider Identifier is 1003113390, issued on Feb 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Malad City, ID. The record was last updated on Feb 22, 2011.