Kallee Anderson, LMFT
Individual provider Active NPI Marriage & Family Therapist · Pocatello, ID
NPI 1295546448 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1295546448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 117394853902 (UT)
- Practice address
- 1485 E Cedar St
Pocatello, ID 83201-3102 - Phone
- (801) 319-5663
- NPI assigned
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-9984 | ID | MD | Marriage & Family Therapist |
| 117394853902 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-9984 | ID | |
| Marriage & Family Therapist | 106H00000X | 117394853902 | UT | Yes |
Addresses
Primary practice location
1485 E Cedar St
Pocatello, ID 83201-3102
Mailing address
1485 E Cedar St
Pocatello, ID 83201-3102
Phone (801) 319-5663
Other providers in Pocatello, ID
- Danielle Lynn Anderson
- Garret Anderson
- Gary Steven Anderson
- Isabella Raquel Anderson
- Jordan Scott Anderson
- Katherine Ann Anderson
- Matthew Anderson
- Michael A Anderson
- Morgan Newel Anderson
- Natalie Anderson
All providers in Pocatello, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.