KENDRA TAMAR PETTIT LPC NPI 1346674751

NPI Information

NPI: 1346674751
Provider Name: KENDRA TAMAR PETTIT, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1108 W FINCH DR
NAMPA, ID
ZIP 83651
Phone: (208) 991-0076
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Kendra Tamar Pettit, LPC is a professional counselor in Nampa, ID. Kendra Tamar Pettit, LPC NPI is 1346674751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1108 W FINCH DR
NAMPA, ID
ZIP 83651-732
Phone: (208) 991-0076

The enumeration date for this NPI number is 8/21/2013 and was last updated on 8/21/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC-4861	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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