Individual
MS. JYL E ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
596 W OAKHAMPTON DR, EAGLE, ID 83616-6741
(208) 321-4166
(208) 321-4167
Mailing address
596 W OAKHAMPTON DR, EAGLE, ID 83616-6741
(208) 484-3359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11376-C
NV
1041C0700X
Clinical Social Worker
Primary
LCSW 28551
ID
Other
Enumeration date
02/07/2007
Last updated
12/13/2024
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