Individual provider · Type 1 NPI
Katy Lynn Conklin
Mental Health Counselor · Boise, ID
NPI number
1104614080
Active
Practice location
1883 N Wildwood St
Boise, ID 83713-5146
Mailing address
16761 N Jade Cover Ln Apt 3
Nampa, ID 83687-4222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104614080
Katy Lynn Conklin's National Provider Identifier is 1104614080, issued on Apr 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 29, 2025.