Individual
JESSICA L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7962
(208) 620-5399
(208) 579-6915
Mailing address
11574 W SIX RIVERS CT, BOISE, ID 83709-7943
(208) 941-1800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6112
ID
Other
Enumeration date
09/07/2013
Last updated
12/05/2024
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