Individual provider · Type 1 NPI

Jill Reid Weadick, LCPC

Mental Health Counselor · Idaho Falls, ID

NPI number 1740255264 Active

Practice location

1075 S Utah Ave Ste 354
Idaho Falls, ID 83402-3320

Call (208) 529-5777 Map

Fax (208) 529-5778

Mailing address

6133 S Marbrisa Ln
Idaho Falls, ID 83406-8243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-2986 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1740255264

Jill Reid Weadick, LCPC's National Provider Identifier is 1740255264, issued on Feb 19, 2006. 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 Oct 13, 2023.