Individual provider · Type 1 NPI
Kimberly Lynn Hudlet, LCPC
Professional Counselor · Boise, ID
NPI number
1104903236
Active
Practice location
4700 N Cloverdale Rd, Suite 214
Boise, ID 83713-1081
Fax (866) 305-0713
Mailing address
4700 N Cloverdale Rd Ste 214
Boise, ID 83713-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1063004 (ID) |
| Professional Counselor Primary | 101YP2500X | LCPC 2838 (ID) |
Professional Counselor: Definition to come...
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About NPI 1104903236
Kimberly Lynn Hudlet, LCPC's National Provider Identifier is 1104903236, issued on Nov 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jan 25, 2023.