| Kimberly Ledwa, Llc | |
|
2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 | |
| (208) 376-5683 | |
| (208) 376-5690 |
| Full Name | Kimberly Ledwa, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2971 E Copper Point Dr Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Kimberly O Ledwa (OWNER/COUNSELOR SUPERVISOR) |
| Authorized Official Contact | 2083765683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Ledwa, Llc 2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 Ph: (208) 376-5683 | Kimberly Ledwa, Llc 2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 Ph: (208) 376-5683 |
| NPI Number | 1720573512 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720573512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-5328 (Idaho) | Primary |
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