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Katherine Wannetta Kapua Whiting, LMFT, MS

Marriage & Family Therapist in Boise, ID. Individual provider (NPI-1).

NPI number1164059549
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1164059549
Entity type
Individual (NPI-1)
Name
Katherine Wannetta Kapua Whiting
Credential
LMFT, MS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist11439605-3902UTYes

Practice location

1655 W Fairview Ave Ste 209
Boise, ID 83702-5190

Phone 208-352-0490

Mailing address

207 E 40th St Trlr 6
Garden City, ID 83714-6386

Phone 208-352-0490

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