Individual
JACINDA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
10548 W BUSINESS PARK LN, BOISE, ID 83709-6797
(208) 890-7165
Mailing address
10548 W BUSINESS PARK LN, BOISE, ID 83709-6797
(208) 890-7165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10212
ID
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
03/27/2025
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