Individual
LAUREN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1509 S TYRELL LN STE 170, BOISE, ID 83706-4063
(424) 350-4655
Mailing address
PO BOX 6932, BOISE, ID 83707-0932
(424) 350-4655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40980
ID
Other
Enumeration date
03/21/2012
Last updated
07/25/2025
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