person
Ms. Sally Jo Leyse, LCPC
Mental Health Counselor in Jerome, Idaho
NPI 1720099203

Sally Jo Leyse is a Mental Health Counselor based in Jerome, ID and is specialized in Mental Health. Sally Jo Leyse practices in Jerome, ID and has the professional credentials of LCPC. The NPI Number for Sally Jo Leyse is 1720099203 and holds a License No. LCPC-215 (Idaho).

The current practice location address for Sally Jo Leyse is 601A Pioneer Mountain Loop, Jerome, ID and can be reached out via phone at 208-420-5902.

Location: 601A Pioneer Mountain Loop, Jerome, ID, 83338-6557
person
Provider Profile Details
NPI Number
1720099203
Provider Name
Sally Jo Leyse
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
601A Pioneer Mountain Loop, Jerome, ID, 83338-6557
Phone Number
208-420-5902
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010017683 01 ID BLUE SHIELD
12249540 01 ID CAQH
Q215-6 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
601A Pioneer Mountain Loop
City
State
Zip
83338-6557
Phone Number
208-420-5902
Fax Number
person
Provider Business Mailing Address Details
Address
601A Pioneer Mountain Loop
City
State
Zip
83338-6557
Phone Number
208-420-5902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-215 (Idaho)
Definition
Definition to come...
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