SearchIdaho101Y00000X

Jessica Wassom, LPC

NPI 1073277885 · on the registry since 2021 · sole proprietor

Practice

Address
3501 W Elder St Ste 300
Boise, ID 83705
Phone
(208) 286-1529
Organisation at this address
Noble Intent
Noble Intent Llc
New Age Med Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho