person
Kenneth D Dudley, LPC
Professional Counselor in Idaho Falls, Idaho
NPI 1588911499

Kenneth D Dudley is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. Kenneth D Dudley practices in Idaho Falls, ID and has the professional credentials of LPC. The NPI Number for Kenneth D Dudley is 1588911499 and holds a License No. LPC-5061 (Idaho).

The current practice location address for Kenneth D Dudley is 2420 E 25Th St, Idaho Falls, ID and can be reached out via phone at 208-542-1026 and via fax at 208-528-2945.

Location: 2420 E 25Th St, Idaho Falls, ID, 83404-7549
person
Provider Profile Details
NPI Number
1588911499
Provider Name
Kenneth D Dudley
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2420 E 25Th St, Idaho Falls, ID, 83404-7549
Phone Number
208-542-1026
Fax Number
208-528-2945
Provider Enumeration Date
08/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2420 E 25Th St
City
State
Zip
83404-7549
Phone Number
208-542-1026
Fax Number
208-528-2945
person
Provider Business Mailing Address Details
Address
2420 E 25Th St
City
State
Zip
83404-7549
Phone Number
208-542-1026
Fax Number
208-528-2945
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-5061 (Idaho)
Definition
Definition to come...
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