Individual
CHRISTINE LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
823 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 736-2177
(208) 736-2113
Mailing address
823 HARRISON ST, TWIN FALLS, ID 83301-3925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30051
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806902500
—
ID
Enumeration date
11/16/2006
Last updated
02/07/2016
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