Individual
JAMIE LOFTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 N. 12TH ST., PLUMMER, ID 83851-0388
(208) 686-1449
(208) 686-5813
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1449
(208) 686-5813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LMSW-34309
ID
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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