Individual provider · Type 1 NPI
Jamie Buckingham
Mental Health Counselor · Boise, ID
NPI number
1114661667
Active
Practice location
8150 W Emerald St
Boise, ID 83704-9019
Mailing address
PO Box 533
Ketchum, ID 83340-0481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114661667
Jamie Buckingham's National Provider Identifier is 1114661667, issued on Apr 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 21, 2022.