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1053707646
JADE LETOURNEAU
CHUBBUCK, ID
NPI
1053707646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5426)
Enumeration Date
2015-04-09
Last Update Date
2015-07-05
Business Address
-- JADE LETOURNEAU LPC
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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Mailing Address
-- JADE LETOURNEAU LPC
940 N GARFIELD AVE
POCATELLO, ID 83204-2851
Phone number:
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