Individual
JENNIFER L MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 2ND ST, MELBA, ID 83641-5199
(208) 459-1011
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-37562
ID
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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