Individual provider · Type 1 NPI

Jacqueline Bazzle, LPC

Professional Counselor · Boise, ID

NPI number 1669844320 Active

Practice location

6126 W State St # 409
Boise, ID 83703-2741

Call (208) 376-7083 Map

Fax (208) 321-5069

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC5973 (ID)

Professional Counselor: Definition to come...

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About NPI 1669844320

Jacqueline Bazzle, LPC's National Provider Identifier is 1669844320, issued on Oct 21, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Dec 16, 2020.