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Search › Idaho › 171100000X

Kyle Wooten, LAC

NPI 1396305504 · on the registry since 2019 · sole proprietor

Practice

Address
190 W Main St
Kuna, ID 83634
Phone
(208) 962-1849
Organisation at this address
Clemens Creative Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
NY, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-30

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