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Organization

CORE CONNECTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMIAH WOODRUFF LPC (OWNER)
(480) 603-8905
Entity
Organization

Contact information

Practice address
859 S YELLOWSTONE HWY STE 302, REXBURG, ID 83440-5294
(208) 557-1227
Mailing address
153 N 3988 E, RIGBY, ID 83442-5310
(480) 603-8905

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/21/2026
Last updated
02/26/2026
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