Individual
MISS JACQUELINE GEDEIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1110 E POLSTON AVE, SUITE 4 JOURNEY TO WELLNESS COUNSELING, POST FALLS, ID 83854-6409
(208) 699-6756
(208) 457-1202
Mailing address
4549 E HAYDEN LAKE RD, HAYDEN, ID 83835-8560
(208) 714-4256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-2829
ID
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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