Individual
MRS. JANE ELLEN HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
333 SOUTH MAIN ST., SUITE 212, KETCHUM, ID 83340-2141
(208) 725-4049
(208) 725-4049
Mailing address
PO BOX 2141, KETCHUM, ID 83340-2141
(208) 725-4049
(208) 725-4049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
#8
ID
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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