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Kathleen Diepenbrock, LPC
Counselor in Hailey, Idaho
NPI 1700325461

Kathleen Diepenbrock is a Counselor based in Hailey, ID. Kathleen Diepenbrock practices in Hailey, ID and has the professional credentials of LPC. The NPI Number for Kathleen Diepenbrock is 1700325461 and holds a License No. LPC -4732 (Idaho).

The current practice location address for Kathleen Diepenbrock is 314 S River St, Hailey, ID and can be reached out via phone at 208-788-5625 and via fax at 208-788-5692.

Location: 314 S River St, Hailey, ID, 83333-4683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700325461
Provider Name
Kathleen Diepenbrock
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
314 S River St, Hailey, ID, 83333-4683
Phone Number
208-788-5625
Fax Number
208-788-5692
Provider Enumeration Date
02/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
314 S River St
City
Hailey
State
Idaho
Zip
83333-8851
Phone Number
208-788-5625
Fax Number
208-788-5692
person
Provider Business Mailing Address Details
Address
314 S River St
City
Hailey
State
Idaho
Zip
83333-8851
Phone Number
208-788-5625
Fax Number
208-788-5692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC -4732 (Idaho)
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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