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Kelly Javin Don Mather, LCPC
Counselor in Nampa, Idaho
NPI 1952668683

Kelly Javin Don Mather is a Counselor based in Nampa, ID. Kelly Javin Don Mather practices in Nampa, ID and has the professional credentials of LCPC. The NPI Number for Kelly Javin Don Mather is 1952668683 and holds a License No. 6836 (Idaho).

The current practice location address for Kelly Javin Don Mather is 104 9Th Ave S Ste B3, Nampa, ID and can be reached out via phone at 208-495-5806 and via fax at 208-606-3680.

Location: 104 9Th Ave S Ste B3, Nampa, ID, 83651-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952668683
Provider Name
Kelly Javin Don Mather
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
104 9Th Ave S Ste B3, Nampa, ID, 83651-3852
Phone Number
208-495-5806
Fax Number
208-606-3680
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 9Th Ave S Ste B3
City
Nampa
State
Idaho
Zip
83651-3852
Phone Number
208-495-5806
Fax Number
208-606-3680
person
Provider Business Mailing Address Details
Address
104 9Th Ave S Ste B3
City
Nampa
State
Idaho
Zip
83651-3852
Phone Number
208-495-5806
Fax Number
208-606-3680
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6836 (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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