Individual
JEREMY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(208) 426-1459
Mailing address
4735 ADAMS ST, GARDEN CITY, ID 83714-4747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6371294
ID
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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