Jeremy Irvin, LCSW, MED

NPI 1245684927 · on the registry since 2016

Practice

Address: 6003 W Overland Rd Ste 105
Boise, ID 83709
Phone: (208) 417-8428
Fax: (208) 216-1434
Organisation at this address: Living Well, Inc,
A Family Place Pa
Life Solutions Inc.
Case Managers Of Idaho, Llc
Cornerstone Rehabilitation Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-10

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