NPI 1003113390

Kelly Steven Piersanti, LPC

Practitioner Professional Counselor Malad City, ID

Practice location

Address: 44 N Main St, Malad City, ID 83252-1200
Phone: (208) 766-2389
Mailing address: 2646 N 1575 E, Layton, UT 84040-8508

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-4594 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1003113390
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2011
Record last updated: 22 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.