Individual
MS. MARY CATHERINE JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7275 W POTOMAC DR STE 110, BOISE, ID 83704-9171
(208) 994-1569
(208) 944-0155
Mailing address
7275 W POTOMAC DR STE 110, BOISE, ID 83704-9171
(208) 994-1569
(208) 944-0155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC3952
ID
Other
Enumeration date
06/24/2010
Last updated
05/19/2020
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