Doctor Name: | KEVIN CANFIELD |
NPI Number: | 1104238054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | LPC 5477 |
Business Practice Address: | 8100 W Emerald St Ste 150 Boise, ID - 837049057 |
Business Phone Number: | 2083750752 |
Business Fax Number: | 2083750796 |
Mailing Address: | 8100 W Emerald St Ste 150, BOISE |
State: | ID |
Postal Code: | 837049057 |
Phone Number: | 2083750752 |
Fax Number: | 2083750796 |
NPI Enumeration Date: | 05/27/2014 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC 5477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |