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1164104949
KAYLA J GIBBONS
POCATELLO, ID
NPI
1164104949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 8331384)
Enumeration Date
2023-08-02
Last Update Date
2024-10-01
Business Address
KAYLA J GIBBONS LPC
845 W CENTER ST
POCATELLO, ID 83204-4205
Phone number: 208-729-6041
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Mailing Address
KAYLA J GIBBONS LPC
921 S 8TH AVE BOX 8226
POCATELLO, ID 83209-0001
Phone number: 832-585-7957
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