Individual
MRS. JENNIFER BETH SHELL BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3544 E 17TH ST, AMMON, ID 83406-6913
(208) 681-4766
Mailing address
3334 SPARROW HAWK DR, IDAHO FALLS, ID 83401-4984
(208) 681-4766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC3632
ID
Other
Enumeration date
02/06/2007
Last updated
02/02/2009
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