Individual
JYSIKA LYNN IRENE RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 LAKE ST, KIMBERLY, ID 83341-2039
(208) 293-4099
Mailing address
545 LAKE ST, KIMBERLY, ID 83341-2039
(208) 293-4099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13060
ID
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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