| NPI | 1134966039 |
|---|---|
| Former Legal Business Name | KERRY ELDER COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KERRY ELDER Counselor 208-850-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |