person
Kathleen Victoria Poduska, LCPC
Mental Health Counselor in Idaho Falls, Idaho
NPI 1770009854

Kathleen Victoria Poduska is a Mental Health Counselor based in Denver, ID and is specialized in Mental Health. Kathleen Victoria Poduska practices in Idaho Falls, ID and has the professional credentials of LCPC. The NPI Number for Kathleen Victoria Poduska is 1770009854 and holds a License No. BBH-LCPC-LIC-23176 (Idaho).

The current practice location address for Kathleen Victoria Poduska is 502 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-346-7500 and via fax at 208-346-7501.

Location: 502 S Woodruff Ave, Idaho Falls, ID, 80211-1658
person
Provider Profile Details
NPI Number
1770009854
Provider Name
Kathleen Victoria Poduska
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
502 S Woodruff Ave, Idaho Falls, ID, 80211-1658
Phone Number
208-346-7500
Fax Number
208-346-7501
Provider Enumeration Date
08/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
502 S Woodruff Ave
City
State
Zip
83401-5298
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider Business Mailing Address Details
Address
502 S Woodruff Ave
City
State
Zip
83401-5298
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0014263 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
BBH-LCPC-LIC-23176 (Montana)
Definition
Definition to come...
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