Individual provider · Type 1 NPI

Kendra Renay Carson, LCPC

Mental Health Counselor · Boise, ID

NPI number 1639748494 Active

Practice location

148 S Cole Rd
Boise, ID 83709-0932

Call (208) 683-8320 Map

Mailing address

12484 S Abbott Downing Way
Nampa, ID 83686-5672

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-8165 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1639748494

Kendra Renay Carson, LCPC's National Provider Identifier is 1639748494, issued on Jun 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Jun 1, 2026.