Individual provider · Type 1 NPI

Jeremy Kendall, LPC, QMHP, LAC

Mental Health Counselor · Coeur D Alene, ID

NPI number 1770961500 Active

Practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Call (208) 620-5255 Map

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLCPC-9460 (ID)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770961500

Jeremy Kendall, LPC, QMHP, LAC's National Provider Identifier is 1770961500, issued on May 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 4, 2025.