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Ms. Jessie Elaine Sullivan, LCPC,LMFT
Marriage & Family Therapist in Idaho Falls, Idaho
NPI 1063674786

Jessie Elaine Sullivan is a Marriage & Family Therapist based in Idaho Falls, ID. Jessie Elaine Sullivan practices in Idaho Falls, ID and has the professional credentials of LCPC,LMFT. The NPI Number for Jessie Elaine Sullivan is 1063674786 and holds a License No. LCPC-119 (Idaho).

The current practice location address for Jessie Elaine Sullivan is 660 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-523-1558 and via fax at 208-529-4788. You can also correspond with Jessie Elaine Sullivan through the mailing address at 3785 COLTS GLEN LN, IDAHO FALLS, ID - 83404-8353 (mailing address contact number: 208-524-2411).

Location: 660 S Woodruff Ave, Idaho Falls, ID, 83404-8353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063674786
Provider Name
Jessie Elaine Sullivan
Credential
LCPC,LMFT
Provider Entity Type
Individual
Gender
Female
Address
660 S Woodruff Ave, Idaho Falls, ID, 83404-8353
Phone Number
208-523-1558
Fax Number
208-529-4788
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
660 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider Business Mailing Address Details
Address
660 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMFT-2963 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LCPC-119 (Idaho)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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