Individual
JEAN LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
Mailing address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI-8557
ID
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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