Kimberly Lind Wacaster, LCSW

NPI #1619288537 in Chubbuck, Idaho

Provider Information

NPI Number
1619288537
Entity Type
Individual
Name
Kimberly Lind Wacaster, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Jun 25, 2010
Last Updated
Jun 25, 2010

Practice Location

Address
4650 HAWTHORNE RD
Address 2
SUITE 3B
State
Idaho
ZIP Code
83202-2376
Phone
(208) 237-9833

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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