Individual provider · Type 1 NPI
Jessica Ivancic, MS, LCPC
Professional Counselor · Meridian, ID
NPI number
1922561612
Active
Practice location
3709 N Locust Grove Rd Ste 100
Meridian, ID 83646-5924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC7364 (ID) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1922561612
Jessica Ivancic, MS, LCPC's National Provider Identifier is 1922561612, issued on Apr 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Sep 23, 2026.