Individual
MRS. JAQUEL STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2590 S 2000 W STE 2, REXBURG, ID 83440-4028
(208) 356-0088
Mailing address
254 FORT HENRY LOOP, REXBURG, ID 83440-2908
(208) 949-8596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6735
ID
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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