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Kenneth Dudley, LPC
NPI 1588911499 · on the registry since 2012
Practice
- Address
- 2420 E 25th St
Idaho Falls, ID 83404 - Phone
- (208) 542-1026
- Fax
- (208) 528-2945
- Organisation at this address
- Life Improvement Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-09
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