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Contact Information

KAITLYN D BISHARAT, LPC
495 EMERALD AVE
BLACKFOOT, ID83221-3968
 Phone: 208-932-4545
 Fax: 208-881-9038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KAITLYN D BISHARAT · (Female)

NPI # 1376346411
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 03/31/2025
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # 6861160
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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