Search › Idaho › 101YM0800X
Kathleen Poduska, LCPC
NPI 1770009854 · on the registry since 2017
Practice
- Address
- 502 S Woodruff Ave
Idaho Falls, ID 83401 - Phone
- (208) 346-7500
- Fax
- (208) 346-7501
- Clinicians at this address
- 6
Additional practice sites
- 200 Plaza Dr Ste 200, Highlands Ranch, CO
- 220 Summit Blvd, Broomfield, CO
- 4159 Lowell Blvd, Denver, CO
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
101YP2500X - Licence states on file
- MT, CO, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho