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Kelsey Lynne Blazicevich, LPC
Counselor in Caldwell, Idaho
NPI 1174149215

Kelsey Lynne Blazicevich is a Counselor based in Caldwell, ID. Kelsey Lynne Blazicevich practices in Caldwell, ID and has the professional credentials of LPC. The NPI Number for Kelsey Lynne Blazicevich is 1174149215 and holds a License No. (Idaho).

The current practice location address for Kelsey Lynne Blazicevich is 923 Grant St, Caldwell, ID and can be reached out via phone at 208-585-3375 and via fax at 208-585-6152.

Location: 923 Grant St, Caldwell, ID, 83605-4137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174149215
Provider Name
Kelsey Lynne Blazicevich
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
923 Grant St, Caldwell, ID, 83605-4137
Phone Number
208-585-3375
Fax Number
208-585-6152
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
923 Grant St
City
Caldwell
State
Idaho
Zip
83605-4137
Phone Number
208-585-3375
Fax Number
208-585-6152
person
Provider Business Mailing Address Details
Address
923 Grant St
City
Caldwell
State
Idaho
Zip
83605-4137
Phone Number
208-585-3375
Fax Number
208-585-6152
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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