Organization
UTOPIA COUNSELLING AND ADOPTION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A JACKSON LCSW (OWNER/COUNSELLOR)
(208) 794-9588
Entity
Organization
Contact information
Practice address
1111 S ORCHARD ST STE 100, BOISE, ID 83705-1961
(208) 794-9588
Mailing address
1111 S ORCHARD ST STE 100, BOISE, ID 83705-1961
(208) 794-9588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33837
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649694233
—
ID
01
—
20008188
MEDICARE
ID
Enumeration date
11/09/2017
Last updated
03/07/2024
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