Individual
JEFFREY ARTHUR BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC LMFT
Contact information
Practice address
5400 W FRANKLIN ROAD, SUITE H, BOISE, ID 83705
(208) 345-1170
(208) 345-3502
Mailing address
PO BOX 9, 211 16TH AVENUE NORTH, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC408
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2915
LMFT
ID
Enumeration date
06/28/2006
Last updated
07/08/2007
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