Individual provider · Type 1 NPI

Jade Letourneau, LPC

Professional Counselor · Chubbuck, ID

NPI number 1053707646 Active

Practice location

265 E Chubbuck Rd
Chubbuck, ID 83202-5055

Call (208) 237-1711 Map

Mailing address

940 N Garfield Ave
Pocatello, ID 83204-2851

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-5426 (ID)

Professional Counselor: Definition to come...

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About NPI 1053707646

Jade Letourneau, LPC's National Provider Identifier is 1053707646, issued on Apr 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chubbuck, ID. The record was last updated on Jul 5, 2015.