Individual provider · Type 1 NPI

Rodney Kanikkeberg

Mental Health Counselor · Moscow, ID

NPI number 1417308495 Active

Practice location

317 W 6th St, Ste 208
Moscow, ID 83843-2321

Call (208) 882-3504 Map

Fax (208) 882-3572

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-6234 (ID)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1417308495

Rodney Kanikkeberg's National Provider Identifier is 1417308495, issued on Jun 30, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moscow, ID. The record was last updated on Jun 30, 2016.