Individual
JENNIFER LYNETTE GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
217 W GEORGIA AVE STE 120, NAMPA, ID 83686-6812
(208) 498-1760
Mailing address
217 W GEORGIA AVE STE 120, NAMPA, ID 83686-6812
(208) 941-2981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LMSW-42536
ID
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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