Individual
MRS. JAMIE BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8150 W EMERALD ST, BOISE, ID 83704-9019
(208) 471-4738
Mailing address
PO BOX 533, KETCHUM, ID 83340-0481
(208) 471-4838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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