Individual
DR. JARED ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4619
(208) 529-5777
Mailing address
550 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4619
(208) 529-5777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6667
ID
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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