Khali Berlin, LCPC
Counselor, Mental Health in Burley, ID. Individual provider (NPI-1).
NPI number1548383136
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1548383136
- Entity type
- Individual (NPI-1)
- Name
- Khali Berlin
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2007
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCPC-3490 | ID | Yes |
Practice location
531 E 5th St Unit 3Burley, ID 83318-1402
Phone 208-312-0470 · Fax 208-678-3556
Mailing address
Po Box 969Burley, ID 83318-0969
Phone 208-312-0470 · Fax 208-678-3556
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