Search › Idaho › 101YP2500X
Jessica Waldron, LCPC
NPI 1861588774 · on the registry since 2006
Practice
- Address
- 2420 E 25th St Ste A
Idaho Falls, ID 83404 - Phone
- (208) 542-1026
- Fax
- (208) 557-7494
- Organisation at this address
- Life Improvement Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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