Individual
KATHLEEN JAWISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(410) 271-2261
Mailing address
1128 W RIVER ST, BOISE, ID 83702-7047
(410) 271-2261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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