JEFFERY EDMISTON

NAMPA, ID
NPI1407284698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC-5607)
Enumeration Date2013-10-24
Last Update Date2014-09-25
Business Address
-- JEFFERY EDMISTON M.S., LCPC
4144 E AMITY AVE
NAMPA, ID 83687-8802
Phone number: 208-465-4985
Mailing Address
-- JEFFERY EDMISTON M.S., LCPC
4144 E AMITY AVE
NAMPA, ID 83687-8802
Phone number: 208-465-4985
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