Individual
JESSICA HERNANDEZ-TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 466-7869
(208) 466-5359
Mailing address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC6247
ID
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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