Organization
JOLLIFF COUNSELING & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BRASSFIELD (ADMIN ASSISTANT)
(208) 736-0995
Entity
Organization
Contact information
Practice address
837 POLE LINE RD, STE 1050, TWIN FALLS, ID 83301-3095
(208) 736-0995
(208) 736-0999
Mailing address
837 POLE LINE RD, STE 1050, TWIN FALLS, ID 83301-3095
(208) 736-0995
(208) 736-0999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806856500
—
ID
Enumeration date
02/22/2016
Last updated
02/22/2016
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