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Individual

AMBER MARIE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2908 HILLCREST LN, CALDWELL, ID 83605-3025
(208) 740-0568
Mailing address
2908 HILLCREST LN, CALDWELL, ID 83605-3025
(208) 740-0568

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4185
ID

Other

Enumeration date
04/16/2025
Last updated
04/16/2025
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