Individual provider · Type 1 NPI

Jaclyn Woodbury Hardy, LPC

Professional Counselor · Meridian, ID

NPI number 1629708458 Active

Practice location

3061 S Meridian Rd Ste 100
Meridian, ID 83642-7962

Call (208) 620-5399 Map

Fax (208) 576-6915

Mailing address

2454 S Thompson St
Nampa, ID 83686-5084

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-8952 (ID)

Professional Counselor: Definition to come...

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About NPI 1629708458

Jaclyn Woodbury Hardy, LPC's National Provider Identifier is 1629708458, issued on Jun 14, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Jun 14, 2022.