Organization
CLEAR SKIES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA E NICKERSON LCSW (OWNER)
(208) 534-5554
Entity
Organization
Contact information
Practice address
1329 AMMON PARK DR, AMMON, ID 83406-4591
(208) 534-5554
(208) 534-5580
Mailing address
1329 AMMON PARK DR, AMMON, ID 83406-4591
(208) 534-5554
(208) 534-5580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
06/28/2023
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