Individual
JENNIFER YTURRIONDOBEITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(541) 889-9167
(541) 889-7873
Mailing address
11485 PAYETTE HEIGHTS RD, PAYETTE, ID 83661-5012
(208) 899-9012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
10/28/2022
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