person
Rodney Kanikkeberg
Mental Health Counselor in Moscow, Idaho
NPI 1417308495

Rodney Kanikkeberg is a Mental Health Counselor based in Moscow, ID and is specialized in Mental Health. Rodney Kanikkeberg practices in Moscow, ID. The NPI Number for Rodney Kanikkeberg is 1417308495 and holds a License No. LPC-6234 (Idaho).

The current practice location address for Rodney Kanikkeberg is 317 W 6Th St, Moscow, ID and can be reached out via phone at 208-882-3504 and via fax at 208-882-3572.

Location: 317 W 6Th St, Moscow, ID, 83843-2321
person
Provider Profile Details
NPI Number
1417308495
Provider Name
Rodney Kanikkeberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
317 W 6Th St, Moscow, ID, 83843-2321
Phone Number
208-882-3504
Fax Number
208-882-3572
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
317 W 6Th St
City
State
Zip
83843-2321
Phone Number
208-882-3504
Fax Number
208-882-3572
person
Provider Business Mailing Address Details
Address
317 W 6Th St
City
State
Zip
83843-2321
Phone Number
208-882-3504
Fax Number
208-882-3572
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-6234 (Idaho)
Definition
Definition to come...
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