CHARLES MICHAEL JEWELL

BOISE, ID
NPI1518978949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-2785)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Mr. CHARLES MICHAEL JEWELL LPC
500 W FORT ST BLDG 23
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Mr. CHARLES MICHAEL JEWELL LPC
PO BOX 1364
MOUNTAIN HOME, ID 83647-1364
Phone number:
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