Individual
JENNIFER MARIE DE PRIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1711 S MILLENIUM WAY STE 110, MERIDIAN, ID 83642-1504
(208) 477-1511
Mailing address
1711 S MILLENIUM WAY STE 110, MERIDIAN, ID 83642-1504
(208) 477-1511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
ID
Other
Enumeration date
06/23/2020
Last updated
05/04/2023
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