Individual provider · Type 1 NPI
Kendra Tamar Pettit, LPC
Professional Counselor · Nampa, ID
NPI number
1346674751
Active
Practice location
1108 W Finch Dr
Nampa, ID 83651-1732
Mailing address
1820 Mace Rd
Eagle, ID 83616-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-4861 (ID) |
Professional Counselor: Definition to come...
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About NPI 1346674751
Kendra Tamar Pettit, LPC's National Provider Identifier is 1346674751, issued on Aug 21, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Aug 21, 2013.