# COUNSELING SOLUTIONS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jessica Bullwinkle, MA, LMFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629613823
- **Authorized official:** JESSICA ANGELIC BULLWINKLE MA (OWNER)
- **Authorized official phone:** (208) 231-7308

## Contact information

- **Practice address:** 2618 EAST SNOCREEK, EAGLE, ID 83616
- **Practice address phone:** (208) 231-7308
- **Mailing address:** 2618 E SNOCREEK DR, EAGLE, ID 83616-5816
- **Mailing address phone:** (208) 231-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 08/24/2021