Individual provider · Type 1 NPI

Kendra Jean Nielson

Mental Health Counselor · Meridian, ID

NPI number 1891447751 Active

Practice location

1901 N Lakes Pl Ste 150
Meridian, ID 83646-5939

Call (208) 890-7165 Map

Mailing address

14331 Crego St
Caldwell, ID 83607-4815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-8629 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1891447751

Kendra Jean Nielson's National Provider Identifier is 1891447751, issued on Jan 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, ID. The record was last updated on Jan 21, 2022.