KENDRA LYN BAGSHAW

IDAHO FALLS, ID
NPI1992079016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  4913)
Enumeration Date2012-03-07
Last Update Date2019-04-04
Business Address
KENDRA LYN BAGSHAW LCPC
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-656-4017
Mailing Address
KENDRA LYN BAGSHAW LCPC
420 W 4TH S
REXBURG, ID 83440-2319
Phone number: 208-656-4017