Most Relevant Information
Provider Data
| NPI Number: | 1003424466 |
| Provider Name: | KENZINGTON PRICE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LPC7675 |
Most Important Dates
| Enumeration Date: | 07/21/2020 |
| Last Updated: | 06/18/2021 |
Provider Practice Location
1159 E IRON EAGLE DR STE 100
EAGLE
ID
836166868
Practice Location Phone/Fax
| Phone: | 2089382836 |
| Fax: | 2089382897 |
Provider Mailing Location
1159 E IRON EAGLE DR STE 100
EAGLE
ID
836166868
Provider Mailing Phone/Fax
| Phone: | 2089382836 |
| Fax: | 2089382897 |