Organization
JODY SACIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY SACIA (LICENSED PROFESSIONAL COUNSELOR)
(608) 286-0662
Entity
Organization
Contact information
Practice address
2535 W STATE ST STE 112, BOISE, ID 83702-2242
(608) 286-0662
Mailing address
4319 N ADAMS ST, GARDEN CITY, ID 83714-4851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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