person
Jessica Davine Northam, LPC
Mental Health Counselor in Nampa, Idaho
NPI 1265152722

Jessica Davine Northam is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Jessica Davine Northam practices in Nampa, ID and has the professional credentials of LPC. The NPI Number for Jessica Davine Northam is 1265152722 and holds a License No. 9111 (Idaho).

The current practice location address for Jessica Davine Northam is 116 18Th Ave S, Nampa, ID and can be reached out via phone at 801-895-4916.

Location: 116 18Th Ave S, Nampa, ID, 83651-4618
person
Provider Profile Details
NPI Number
1265152722
Provider Name
Jessica Davine Northam
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
116 18Th Ave S, Nampa, ID, 83651-4618
Phone Number
801-895-4916
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
116 18Th Ave S
City
State
Zip
83651-4841
Phone Number
801-895-4916
Fax Number
person
Provider Business Mailing Address Details
Address
116 18Th Ave S
City
State
Zip
83651-4841
Phone Number
801-895-4916
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
9111 (Idaho)
Definition
Definition to come...
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