Individual
JARED THOMAS JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY
Contact information
Practice address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652
Mailing address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PSY-9671673
ID
Other
Enumeration date
08/22/2025
Last updated
09/12/2025
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