Kimberly Lind Wacaster, LCSW Valid NPI

Individual provider · Mental Health Counselor · Chubbuck, ID

NPI

1619288537

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCSW-27911 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2010-06-25

Last updated

2010-06-25