Individual
MR. HAL J JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
630 N FRONT ST, ARCO, ID 83213-8756
(208) 527-8933
(208) 527-4481
Mailing address
630 N FRONT ST, ARCO, ID 83213-8756
(208) 527-8933
(208) 527-4481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8063309
—
ID
Enumeration date
05/10/2007
Last updated
07/09/2007
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