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1316639420
KERRY SEAN HENDERSHOT
BOISE, ID
NPI
1316639420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9573)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
Mr. KERRY SEAN HENDERSHOT LPC
2995 N COLE RD STE 260
BOISE, ID 83704-5976
Phone number: 208-888-5905
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Mailing Address
Mr. KERRY SEAN HENDERSHOT LPC
1799 N LAKES PL
MERIDIAN, ID 83646-1833
Phone number: 208-888-5905
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