Individual
JENNIFER AMBER BELMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8680 N WAYNE DR, SUITE A, HAYDEN, ID 83835
(208) 627-7818
(844) 803-7399
Mailing address
8680 N WAYNE DR., SUITE A, HAYDEN, ID 83835
(208) 627-7818
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-35884
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-38473
ID
1041C0700X
Clinical Social Worker
LCSW38473
ID
Other
Enumeration date
08/19/2016
Last updated
07/27/2023
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