Individual
JESSICA DAVINE DEL VECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
116 18TH AVE S, NAMPA, ID 83651-4841
(801) 895-4916
Mailing address
1007 S CONGRESS AVE APT 624, AUSTIN, TX 78704-1746
(505) 697-7131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9111
ID
Other
Enumeration date
09/02/2022
Last updated
11/07/2024
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