SearchIdaho101YP2500X

Kraig Boyd, LPC

NPI 1043604408 · on the registry since 2015

Practice

Address
343 E Bonneville St
Pocatello, ID 83201
Phone
(208) 233-9135
Fax
(208) 233-9136
Organisation at this address
Road To Recovery
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho