Individual
MR. JONATHAN DAVID HITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 991-4184
Mailing address
2600 S ENCANTO ST, BOISE, ID 83705-4509
(208) 861-3662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6273
ID
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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