Individual provider · Type 1 NPI

Kerry Elder

Professional Counselor · Boise, ID

NPI number 1982290938 Active

Practice location

410 S Orchard St Ste 128
Boise, ID 83705-1288

Mailing address

12514 W Macumbo St
Boise, ID 83709-5169

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1982290938

Kerry Elder's National Provider Identifier is 1982290938, issued on Dec 14, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Dec 14, 2020.