Individual
JODIE JALYNN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3522 BRIAR CREEK LN, AMMON, ID 83406-4728
(208) 529-1660
Mailing address
3062 FULTON DR, IDAHO FALLS, ID 83401-4286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8450
ID
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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