Individual provider · Type 1 NPI

Jerrilynne Wood, LCPC-4457

Mental Health Counselor · Idaho Falls, ID

NPI number 1568898013 Active

Practice location

111 E 16th St
Idaho Falls, ID 83404-5919

Call (208) 552-2109 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC4457 (ID)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1568898013

Jerrilynne Wood, LCPC-4457's National Provider Identifier is 1568898013, issued on Sep 16, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 16, 2013.