| Doctor Name: | KRISTIN S HADLEY |
| NPI Number: | 1891007399 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | LMSW-28333 |
| Business Practice Address: | 205 N Berkley Steet Council, ID - 83612 |
| Business Phone Number: | 2082536850 |
| Business Fax Number: | 2082536849 |
| Mailing Address: | Po Box 428, COUNCIL |
| State: | ID |
| Postal Code: | 836120428 |
| Phone Number: | 2082536850 |
| Fax Number: | 2082536849 |
| NPI Enumeration Date: | 07/13/2010 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LMSW-28333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |