Autumn Nikole Hennessy Kahea, CPSS

NPI #1124994454 in Pocatello, Idaho

Provider Information

NPI Number
1124994454
Entity Type
Individual
Name
Autumn Nikole Hennessy Kahea, CPSS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Credential
CPSS
Enumeration Date
Oct 14, 2025
Last Updated
Oct 14, 2025

Practice Location

Address
611 WILSON AVE STE 5
State
Idaho
ZIP Code
83201-5046
Phone
(208) 915-8448

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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