Individual
JESSICA RIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
(208) 344-0014
Mailing address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
(208) 344-0014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38428
ID
Other
Enumeration date
09/19/2019
Last updated
02/06/2020
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