Organization
GROUNDED WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKELLE KNICKREHM (OWNER)
(208) 860-2390
Entity
Organization
Contact information
Practice address
1010 W WASHINGTON ST, BOISE, ID 83702-5446
(208) 860-2390
Mailing address
713 N ECHOHAWK WAY, EAGLE, ID 83616-5489
(208) 860-2390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
08/11/2026
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