Individual
JESSICA NOVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
508 E FLORIDA AVE, NAMPA, ID 83686-5823
(208) 463-0118
Mailing address
508 E FLORIDA AVE, NAMPA, ID 83686-5823
(208) 463-0118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-36140
ID
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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