Individual
MS. JESSICA DANIELLE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 S ORCHARD ST STE 124, BOISE, ID 83705-1210
(208) 344-5440
Mailing address
3918 S NORTH CHURCH PL, BOISE, ID 83706-5846
(208) 344-5440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5806
ID
101Y00000X
Counselor
Primary
LPC-5055
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/27/2014
Last updated
07/13/2021
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