Individual
JESSE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 619-0190
(208) 619-0195
Mailing address
1602 E SELTICE WAY, SUITE D, POST FALLS, ID 83854-7082
(208) 619-0190
(208) 619-0195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 32338
ID
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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