Individual provider · Type 1 NPI

Kristy Ann Pendleton, LCSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1659797090 Active

Practice location

1301 E 17th St
Idaho Falls, ID 83404-6273

Call (208) 538-3122 Map

Fax (208) 881-5295

Mailing address

3656 E Vision Dr
Idaho Falls, ID 83401-5045

Other practice locations

  • 255 B St, Idaho Falls, ID 83402-3566 · (208) 524-4818

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-34365 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1659797090

Kristy Ann Pendleton, LCSW's National Provider Identifier is 1659797090, issued on Mar 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 3, 2020.