Individual
JENNIFER PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W IRONWOOD DR STE 330, COEUR D ALENE, ID 83814-2682
(312) 798-9715
Mailing address
1250 W IRONWOOD DR STE 330, COEUR D ALENE, ID 83814-2682
(312) 798-9715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-8250
ID
101YP2500X
Professional Counselor
LPC-6813
ID
Other
Enumeration date
09/13/2017
Last updated
07/08/2023
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