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1184098436
DONIELLE JORDAN
NAMPA, ID
NPI
1184098436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC6010)
Enumeration Date
2015-11-24
Last Update Date
2021-10-26
Business Address
DONIELLE JORDAN LPC
1031 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-446-7443
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Mailing Address
DONIELLE JORDAN LPC
313 S 1ST AVE W
MIDDLETON, ID 83644-5779
Phone number: 208-954-3685
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