Organization
WELL ROOTED INTEGRATIVE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MCWATERS PSY.D. (OWNER)
(208) 314-8655
Entity
Organization
Contact information
Practice address
1191 E IRON EAGLE DR STE 100, EAGLE, ID 83616-5139
(208) 314-8655
Mailing address
3770 E AMITY AVE UNIT 105, NAMPA, ID 83687-1194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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