Individual
MR. JACOB L. PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8660 W EMERALD ST STE 142, BOISE, ID 83704-4829
(208) 939-3865
(208) 939-3869
Mailing address
3044 E AUTUMN WAY, MERIDIAN, ID 83642
(208) 447-7947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7026
ID
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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