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Organization

IGNITE IDAHO FAMILY RESOURCE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACI C JAMIESON LPC (EXECUTIVE DIRECTOR)
(208) 630-4200
Entity
Organization

Contact information

Practice address
106 E PARK ST STE 227, 227, MCCALL, ID 83638-5064
(208) 994-5537
(208) 277-1877
Mailing address
106 E PARK ST STE 227, MCCALL, ID 83638-5069
(208) 994-5537
(208) 227-1877

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/29/2022
Last updated
02/12/2026
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