Individual
JESSICA LEANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1520 W STATE ST STE 100, BOISE, ID 83702-4084
(208) 947-7700
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
41137
ID
Other
Enumeration date
07/23/2021
Last updated
11/16/2021
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