Individual
MRS. JENNIFER MARIE MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
2025 W PARK PL STE 105, COEUR D ALENE, ID 83814-2787
(208) 274-3267
(208) 719-7952
Mailing address
P.O. BOX 1103, RATHDRUM, ID 83858
(208) 659-2049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
04/22/2025
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