Individual
MS. JANA KAE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
223 W STATE ST, BOISE, ID 83702-6013
(208) 870-2830
Mailing address
223 W STATE ST, BOISE, ID 83702-6013
(208) 870-2830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-242
ID
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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