Individual
JADYN RENE ENGGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 N GOVERNMENT WAY STE 300, COEUR D ALENE, ID 83814-2976
(928) 379-0584
Mailing address
3635 N 17TH ST APT C2, COEUR D ALENE, ID 83815-6606
(928) 379-0584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7161476
ID
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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