person
Kendra Lyn Bagshaw, LCPC
Mental Health Counselor in Rexburg, Idaho
NPI 1992079016

Kendra Lyn Bagshaw is a Mental Health Counselor based in Rexburg, ID and is specialized in Mental Health. Kendra Lyn Bagshaw practices in Rexburg, ID and has the professional credentials of LCPC. The NPI Number for Kendra Lyn Bagshaw is 1992079016 and holds a License No. LCPC-6837 (Idaho).

The current practice location address for Kendra Lyn Bagshaw is 343 E 4Th N Ste 116, Rexburg, ID and can be reached out via phone at 208-201-6990.

Location: 343 E 4Th N Ste 116, Rexburg, ID, 83440-6003
person
Provider Profile Details
NPI Number
1992079016
Provider Name
Kendra Lyn Bagshaw
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
343 E 4Th N Ste 116, Rexburg, ID, 83440-6003
Phone Number
208-201-6990
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
343 E 4Th N Ste 116
City
State
Zip
83440-6003
Phone Number
208-201-6990
Fax Number
person
Provider Business Mailing Address Details
Address
343 E 4Th N Ste 116
City
State
Zip
83440-6003
Phone Number
208-201-6990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-6837 (Idaho)
Definition
Definition to come...
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