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Jarae Swanstrom, LPC
Professional Counselor in Ponderay, Idaho
NPI 1063188183

Jarae Swanstrom is a Professional Counselor based in Ponderay, ID and is specialized in Professional. Jarae Swanstrom practices in Ponderay, ID and has the professional credentials of LPC. The NPI Number for Jarae Swanstrom is 1063188183 and holds a License No. LPC-8294 (Idaho).

The current practice location address for Jarae Swanstrom is 30410 Highway 200, Ponderay, ID and can be reached out via phone at 208-267-1718.

Location: 30410 Highway 200, Ponderay, ID, 83852-9601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063188183
Provider Name
Jarae Swanstrom
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
30410 Highway 200, Ponderay, ID, 83852-9601
Phone Number
208-267-1718
Fax Number
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30410 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-267-1718
Fax Number
person
Provider Business Mailing Address Details
Address
30410 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-267-1718
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-8294 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC-8294 (Idaho)
Definition
Definition to come...
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