Individual
MRS. JEANNA CHAY COLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SE
Contact information
Practice address
SANCTUARY 4737 AFTON PL, STE #A, CHUBBUCK, ID 83202
(208) 417-0623
(208) 417-0641
Mailing address
SANCTUARY 4737 AFTON PL, STE #A, CHUBBUCK, ID 83202
(208) 417-0623
(208) 417-0641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SE - 202928
ID
Other
Enumeration date
01/16/2016
Last updated
03/14/2023
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