KELLY JAVIN DON MATHER LCPC NPI 1952668683

NPI Information

Kelly Javin Don Mather, LCPC is a counselor in Nampa, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kelly Javin Don Mather, LCPC NPI is 1952668683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 9TH AVE S STE B3
NAMPA, ID
ZIP 83651-852
Phone: (208) 495-5806
Fax: (208) 606-3680

The enumeration date for this NPI number is 4/19/2012 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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