Individual
KATHARINE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1133 N MAIN ST, POCATELLO, ID 83204-2717
(208) 234-9361
Mailing address
605 S 7TH AVE APT 1, POCATELLO, ID 83201-5871
(208) 589-2677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5984
ID
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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