Kristi Southwick, LPC

NPI #1396422408 in Idaho Falls, Idaho

Provider Information

NPI Number: 1396422408
Entity Type: Individual
Name: Kristi Southwick, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 550 W SUNNYSIDE RD STE 1
City: Idaho Falls
State: Idaho
ZIP Code: 83402-4642
Phone: (208) 529-5777

Specialties & Taxonomy Codes

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

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