Individual
JESSICA LOUISE BAECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 586-2285
Mailing address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 586-2285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC8706
ID
Other
Enumeration date
02/16/2022
Last updated
02/19/2024
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