Individual
MS. JENNIFER CONLEY COCHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. COUN
Contact information
Practice address
720 W WASHINGTON ST, BOISE, ID 83702-5535
(208) 343-3688
(208) 343-8475
Mailing address
720 W WASHINGTON ST, BOISE, ID 83702-5535
(208) 343-3688
(208) 343-8475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-401
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138490
REGENCE BLUE SHIELD
ID
01
—
Q2685
BLUE CROSS OF IDAHO
ID
Enumeration date
07/17/2006
Last updated
09/15/2008
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