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Individual

MRS. LISA BETH JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404
(208) 542-1026
Mailing address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7050
ID

Other

Enumeration date
05/24/2013
Last updated
08/06/2018
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