person
Mrs. Kira C Lane, LPC3502
Mental Health Counselor in Idaho Falls, Idaho
NPI 1275613556

Kira C Lane is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Kira C Lane practices in Idaho Falls, ID and has the professional credentials of LPC3502. The NPI Number for Kira C Lane is 1275613556 and holds a License No. LPC3502 (Idaho).

The current practice location address for Kira C Lane is 496 A St, Idaho Falls, ID and can be reached out via phone at 208-552-7100 and via fax at 208-552-7101.

Location: 496 A St, Idaho Falls, ID, 83402-4124
person
Provider Profile Details
NPI Number
1275613556
Provider Name
Kira C Lane
Credential
LPC3502
Provider Entity Type
Individual
Gender
Female
Address
496 A St, Idaho Falls, ID, 83402-4124
Phone Number
208-552-7100
Fax Number
208-552-7101
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X6889 01 ID BLUE CROSS OF IDAHO
000010156986 01 ID BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
496 A St
City
State
Zip
83402-3617
Phone Number
208-552-7100
Fax Number
208-552-7101
person
Provider Business Mailing Address Details
Address
496 A St
City
State
Zip
83402-3617
Phone Number
208-552-7100
Fax Number
208-552-7101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC3502 (Idaho)
Definition
Definition to come...
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