Kelly Steven Piersanti
Professional Counselor
44 N Main St
Malad City
, Idaho 83252-1200
Kelly Steven Piersanti
Professional Counselor
44 N Main St
Malad City
, Idaho 83252-1200
(801) 771-0332
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Kelly Steven Piersanti
- 2646 N 1575 E
- Layton, UT
- Zip : 84040-8508
- Phone : (801) 771-0332
Second Address
- Kelly Steven Piersanti
- 44 N Main St
- Malad City, ID
- Zip : 83252-1200
- Phone : (208) 766-2389
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | LPC-4594 | ID |
National Provider Identifier
| NPI | 1003113390 |
|---|---|
| Provider Name | Kelly Steven Piersanti |
| First Address | Layton, UT 84040-8508 |
| Second Address | Malad City, ID 83252-1200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2011 |
| Last Update Date | 22/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.