Individual
MISS JENNIFER MARIE PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPCC, LPC
Contact information
Practice address
1312 JULIE LN, TWIN FALLS, ID 83301-3591
(323) 818-3301
Mailing address
1312 JULIE LN, TWIN FALLS, ID 83301-3591
(208) 254-1596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC8779
ID
101YM0800X
Mental Health Counselor
Primary
LPCC9922
CA
101YP2500X
Professional Counselor
C6660
OR
101YP2500X
Professional Counselor
LPC7926
ID
Other
Enumeration date
05/22/2017
Last updated
07/17/2023
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