Individual
JORDAN DENNIS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-2434
Mailing address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-2434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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