Individual
TRACI C JAMIESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 COMMERCE ST, MCCALL, ID 83638-5192
(208) 634-2962
(208) 634-5064
Mailing address
PO BOX 768, MCCALL, ID 83638-0768
(208) 630-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8007
ID
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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