Individual
MRS. JAMIE N COURSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. PSYCHOLOGY
Contact information
Practice address
822 BRYDEN DR, LEWISTON, ID 83501-4930
(208) 791-0253
Mailing address
822 BRYDEN DR, LEWISTON, ID 83501-4930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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