Individual
MARICAR JOSE JACOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 515-7661
Mailing address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
ID
101YM0800X
Mental Health Counselor
—
ID
101YP2500X
Professional Counselor
—
ID
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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