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1306197256
JESSICA BERRY HENDERSON
BOISE, ID
NPI
1306197256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 4508)
Enumeration Date
2012-10-01
Last Update Date
2021-01-27
Business Address
Dr. JESSICA BERRY HENDERSON Ph.D., L.P.C
3852 N EAGLE RD
BOISE, ID 83713-0750
Phone number: 208-378-0014
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Mailing Address
Dr. JESSICA BERRY HENDERSON Ph.D., L.P.C
2351 S RIDGE POINT WAY
BOISE, ID 83712-8522
Phone number:
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