Kevin Colin Soran Henson

NPI #1194552240 in Caldwell, Idaho

Provider Information

NPI Number: 1194552240
Entity Type: Individual
Name: Kevin Colin Soran Henson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 13, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 314 BADIOLA ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4389
Phone: (208) 454-8389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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