Jerrilynne Wood, LCPC-4457
Counselor, Mental Health in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1568898013
StatusActive
Last updated in NPPESSep 16, 2013
Details
- NPI
- 1568898013
- Entity type
- Individual (NPI-1)
- Name
- Jerrilynne Wood
- Credential
- LCPC-4457
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2013
- Last updated
- Sep 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | lcpc4457 | ID | Yes |
Practice location
111 E 16th StIdaho Falls, ID 83404-5919
Phone 208-552-2109
Mailing address
111 E 16th StIdaho Falls, ID 83404-5919
Phone 208-552-2109
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All 144 Mental Health Counselor providers in Idaho Falls · All 3,646 providers in Idaho Falls
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