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Kathryn R Heydorn
Counselor in Nampa, Idaho
NPI 1871005108

Kathryn R Heydorn is a Counselor based in Nampa, ID. Kathryn R Heydorn practices in Nampa, ID. The NPI Number for Kathryn R Heydorn is 1871005108 and holds a License No. MG60789946 (Idaho).

The current practice location address for Kathryn R Heydorn is 7714 E Willard Dr, Nampa, ID and can be reached out via phone at 208-810-1276 and via fax at 208-895-8049.

Location: 7714 E Willard Dr, Nampa, ID, 83687-8252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871005108
Provider Name
Kathryn R Heydorn
Credential
Provider Entity Type
Individual
Gender
Female
Address
7714 E Willard Dr, Nampa, ID, 83687-8252
Phone Number
208-810-1276
Fax Number
208-895-8049
Provider Enumeration Date
10/26/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1871005108 01 NPI
institution
Provider Business Practice Location Address Details
Address
7714 E Willard Dr
City
Nampa
State
Idaho
Zip
83687-8252
Phone Number
208-810-1276
Fax Number
208-895-8049
person
Provider Business Mailing Address Details
Address
7714 E Willard Dr
City
Nampa
State
Idaho
Zip
83687-8252
Phone Number
208-810-1276
Fax Number
208-895-8049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MC60789946 (Washington)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MG60789946 (Washington)
Definition
Definition to come...
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