person
Khali J. Bedke-berlin, LCPC
Mental Health Counselor in Burley, Idaho
NPI 1548383136

Khali J. Bedke-berlin is a Mental Health Counselor based in Burley, ID and is specialized in Mental Health. Khali J. Bedke-berlin practices in Burley, ID and has the professional credentials of LCPC. The NPI Number for Khali J. Bedke-berlin is 1548383136 and holds a License No. LCPC-3490 (Idaho).

The current practice location address for Khali J. Bedke-berlin is 2311 Park Ave, Burley, ID and can be reached out via phone at 208-312-0470 and via fax at 208-678-3556.

Location: 2311 Park Ave, Burley, ID, 83318-0969
person
Provider Profile Details
NPI Number
1548383136
Provider Name
Khali J. Bedke-berlin
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2311 Park Ave, Burley, ID, 83318-0969
Phone Number
208-312-0470
Fax Number
208-678-3556
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q7335 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2311 Park Ave
City
State
Zip
83318-2170
Phone Number
208-312-0470
Fax Number
208-678-3556
person
Provider Business Mailing Address Details
Address
2311 Park Ave
City
State
Zip
83318-2170
Phone Number
208-312-0470
Fax Number
208-678-3556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-3490 (Idaho)
Definition
Definition to come...
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