Kelly Steven Piersanti, LPC

NPI #1003113390 in Malad City, Idaho

Provider Information

NPI Number: 1003113390
Entity Type: Individual
Name: Kelly Steven Piersanti, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Feb 22, 2011
Last Updated: Feb 22, 2011

Practice Location

Address: 44 N MAIN ST
City: Malad City
State: Idaho
ZIP Code: 83252-1200
Phone: (208) 766-2389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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