Individual
MADELEINE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MCOUN, LPC, NCC
Contact information
Practice address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 214-7408
Mailing address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 994-5604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2571567
ID
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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