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Jonathan Roy Minkoff, LCPC
Counselor in Caldwell, Idaho
NPI 1790853927

Jonathan Roy Minkoff is a Counselor based in Caldwell, ID. Jonathan Roy Minkoff practices in Caldwell, ID and has the professional credentials of LCPC. The NPI Number for Jonathan Roy Minkoff is 1790853927 and holds a License No. LCPC-126 (Idaho).

The current practice location address for Jonathan Roy Minkoff is 2020 Blaine Street, Caldwell, ID and can be reached out via phone at 208-453-2840 and via fax at 208-453-2840. You can also correspond with Jonathan Roy Minkoff through the mailing address at 11648 EVA LANE, CALDWELL, ID - 83607-9716 (mailing address contact number: 208-453-2840).

Location: 2020 Blaine Street, Caldwell, ID, 83607-9716
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Provider Profile Details
NPI Number
1790853927
Provider Name
Jonathan Roy Minkoff
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
2020 Blaine Street, Caldwell, ID, 83607-9716
Phone Number
208-453-2840
Fax Number
208-453-2840
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010017377 01 ID REGENCE BLUESHIELD OF ID
Q4608 01 ID BLUE CROSS OF IDAHO
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Provider Business Practice Location Address Details
Address
2020 Blaine Street
City
State
Zip
83605
Phone Number
208-453-2840
Fax Number
208-453-2840
person
Provider Business Mailing Address Details
Address
2020 Blaine Street
City
State
Zip
83605
Phone Number
208-453-2840
Fax Number
208-453-2840
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LCPC-126 (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.
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