Krystal Lynn Manning, | |
1620 S Kimball Ave, Caldwell, ID 83605-4547 | |
(208) 505-2950 | |
(208) 505-2955 |
Full Name | Krystal Lynn Manning |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1620 S Kimball Ave, Caldwell, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508575184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 146126 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 2061075 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Krystal Lynn Manning, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Krystal Lynn Manning, 1620 S Kimball Ave, Caldwell, ID 83605-4547 Ph: (208) 505-2950 |
Mr. Allan Lee West, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 215 S 11th Ave, Caldwell, ID 83605 Phone: 208-454-8107 | |
Estella Acosta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 524 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-514-6886 |