Individual provider · Type 1 NPI
Jamie Lynn Van, LPC
Professional Counselor · Boise, ID
NPI number
1336550169
Active
Practice location
600 E Riverpark Ln Ste 125
Boise, ID 83706-6661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC 5951 (ID) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1336550169
Jamie Lynn Van, LPC's National Provider Identifier is 1336550169, issued on May 14, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Dec 5, 2018.