Organization
CADDIS FLY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN SELLMAN LCPC (OWNER/CLINICIAN)
(208) 820-8010
Entity
Organization
Contact information
Practice address
275 S 5TH AVE STE 125, POCATELLO, ID 83201-6411
(208) 820-8010
(208) 820-8014
Mailing address
275 S 5TH AVE STE 125, POCATELLO, ID 83201-6411
(208) 820-8010
(208) 820-8014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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