Individual provider · Type 1 NPI

Kayla Pedigo, LPC

Mental Health Counselor · Blackfoot, ID

NPI number 1760937148 Active

Practice location

1309 Camas St
Blackfoot, ID 83221-3060

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	LPC 5608 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1760937148

Kayla Pedigo, LPC's National Provider Identifier is 1760937148, issued on Aug 16, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 16, 2016.