Individual
MS. JACLYN EILEEN VERNIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
364 S 2ND E, SODA SPRINGS, ID 83276-1605
(208) 530-0932
Mailing address
364 S 2ND E, SODA SPRINGS, ID 83276-1605
(208) 530-0932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10393
ID
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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