Individual provider · Type 1 NPI
Kristen Connolly, LPC
Professional Counselor · Boise, ID
NPI number
1861241143
Active
Practice location
4696 West Overland Rd, Ste 132
Boise, ID 83705-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10495 (ID) |
Professional Counselor: Definition to come...
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About NPI 1861241143
Kristen Connolly, LPC's National Provider Identifier is 1861241143, issued on May 17, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jan 15, 2025.