Individual
JESSICA STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2995 N COLE RD STE 150, BOISE, ID 83704-5965
(208) 703-7357
(208) 712-6778
Mailing address
6317 W MARVIN ST, BOISE, ID 83709-2138
(208) 890-3284
(208) 890-3284
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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