Individual
JESSICA GORRINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3484 N BRYCE CANYON PL, MERIDIAN, ID 83646-6061
(208) 284-8450
Mailing address
3484 N BRYCE CANYON PL, MERIDIAN, ID 83646-6061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6828
ID
101YM0800X
Mental Health Counselor
LPC-5927
ID
Other
Enumeration date
10/31/2016
Last updated
01/25/2022
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