Individual
MRS. BEVERLY GRIGG JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
210 W. BURNSIDE, CHUBBUCK, ID 83202
(208) 238-9000
Mailing address
124 W. 210 N., BLACKFOOT, ID 83221
(208) 251-4596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6184
ID
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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