Individual provider · Type 1 NPI

Kathryn Bonzo, LPC

Mental Health Counselor · Moscow, ID

NPI number 1710870985 Active

Practice location

213 N Main St Ste 1B
Moscow, ID 83843-2700

Fax (208) 969-8380

Mailing address

148 S Cole Rd
Boise, ID 83709-0932

Other practice locations

  • 148 S Cole Rd, Boise, ID 83709-0932 · (208) 683-8320
  • 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 · (208) 683-8320
  • 509 S Middleton Rd, Middleton, ID 83644-6046 · (208) 683-8320
  • 411 Main Street Unit G, Kamiah, ID 83536 · (208) 683-8320

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1071470 (ID)
Mental Health Counselor Primary 101YM0800X1071470 (ID)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1710870985

Kathryn Bonzo, LPC's National Provider Identifier is 1710870985, issued on May 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moscow, ID. The record was last updated on Aug 4, 2025.