Organization
JOLLIFF COUNSELING & BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ASHLEY (OWNER)
(208) 736-0995
Entity
Organization
Contact information
Practice address
834 FALLS AVE, STE 1050, TWIN FALLS, ID 83301-3365
(208) 736-0995
(208) 736-0999
Mailing address
834 FALLS AVE, STE 1050, TWIN FALLS, ID 83301-3365
(208) 736-0995
(208) 736-0999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806856500
—
ID
05
—
806959500
—
ID
Enumeration date
06/04/2006
Last updated
05/18/2010
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