Individual
JASMIN JESSICA CONTRERAS VERDUZCO COPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2609 S 10TH AVE STE 102, CALDWELL, ID 83605-6885
(208) 454-2766
(208) 454-2771
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8802
ID
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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