Individual
JORIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 N 200 E, REXBURG, ID 83440-3599
(208) 356-6975
Mailing address
1063 CASSIA AVE, IDAHO FALLS, ID 83402-1941
(208) 251-7898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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