Individual
PRESLEY DANIELLE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 922-6714
Mailing address
222 W CAMELLIA AVE, MERIDIAN, ID 83642-2226
(208) 999-0145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-8359
ID
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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