JACOB PANNELL

LEWISTON, ID
NPI1396519880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
JACOB PANNELL
1630 23RD AVE BLDG 2
LEWISTON, ID 83501-6350
Phone number: 208-746-7784
Mailing Address
JACOB PANNELL
PO BOX 812
LEWISTON, ID 83501-0812
Phone number:
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