Rodney Kanikkeberg

NPI #1417308495 in Moscow, Idaho

Provider Information

NPI Number
1417308495
Entity Type
Individual
Name
Rodney Kanikkeberg
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 30, 2016
Last Updated
Jun 30, 2016

Practice Location

Address
317 W 6TH ST
Address 2
STE 208
City
Moscow
State
Idaho
ZIP Code
83843-2321
Phone
(208) 882-3504

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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