Individual provider · Type 1 NPI

Kimberly Lind Wacaster, LCSW

Mental Health Counselor · Chubbuck, ID

NPI number 1619288537 Active

Practice location

4650 Hawthorne Rd, Suite 3B
Chubbuck, ID 83202-2376

Fax (208) 237-1800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-27911 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1619288537

Kimberly Lind Wacaster, LCSW's National Provider Identifier is 1619288537, issued on Jun 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chubbuck, ID. The record was last updated on Jun 25, 2010.