Individual
JEANETTE BERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 Z ST, HEYBURN, ID 83336-7650
(208) 260-1212
Mailing address
2031 Z ST, HEYBURN, ID 83336-7650
(208) 260-1212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6752
ID
Other
Enumeration date
11/06/2014
Last updated
11/06/2025
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