JESSICA DAVINE NORTHAM

NAMPA, ID
NPI1265152722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  9111)
Enumeration Date2022-09-02
Last Update Date2022-09-02
Business Address
JESSICA DAVINE NORTHAM LPC
116 18TH AVE S
NAMPA, ID 83651-4841
Phone number: 801-895-4916
Mailing Address
JESSICA DAVINE NORTHAM LPC
919 13TH AVE S
NAMPA, ID 83651-4618
Phone number: