Jana Rae O'Rullian, LCSW
Social Worker in Rexburg, ID. Individual provider (NPI-1).
NPI number1417455668
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1417455668
- Entity type
- Individual (NPI-1)
- Name
- Jana Rae O'Rullian
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2018
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LMSW-36797 | ID | Yes |
Practice location
1069 Summers Dr Ste BRexburg, ID 83440-5335
Phone 208-681-0647
Mailing address
151 S Hidden Valley RdRexburg, ID 83440-3573
Phone 208-716-0384
Other practice locations
393 E 2nd N
Rexburg, ID 83440-1605
Rexburg, ID 83440-1605
Phone 208-359-4840
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All 48 Social Worker providers in Rexburg · All 837 providers in Rexburg
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