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Search › Idaho › 1041C0700X

Elizabeth Jackson, LCSW

NPI 1649694233 · on the registry since 2014 · sole proprietor

Practice

Address
1111 S Orchard St Ste 100
Boise, ID 83705
Phone
(208) 794-9588
Organisation at this address
Tdandc Llc
Prov16, Llc
Xpert Care Llc
Toni Sparks, Pa
All Together Now
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
101YM0800X
Licence states on file
WY, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-03

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