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Individual

JENNIFER DEAN BOSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
228 12TH AVE RD, NAMPA, ID 83686-5013
(509) 771-1191
Mailing address
426 BITTERBRUSH AVE, NAMPA, ID 83686-8355
(509) 771-1191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7171595
ID

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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