Individual
MS. JESSICA RAE KIRWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1529 BELMONT ST, BOISE, ID 83706
(208) 426-1459
Mailing address
11103 RIPLEY CT, BOISE, ID 83713-2672
(208) 850-6419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9390
ID
Other
Enumeration date
07/20/2017
Last updated
07/23/2025
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