JERRILYNNE WOOD

IDAHO FALLS, ID
NPI1568898013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  lcpc4457)
Enumeration Date2013-09-16
Last Update Date2013-09-16
Business Address
-- JERRILYNNE WOOD LCPC-4457
111 E 16TH ST
IDAHO FALLS, ID 83404-5919
Phone number: 208-552-2109
Mailing Address
-- JERRILYNNE WOOD LCPC-4457
111 E 16TH ST
IDAHO FALLS, ID 83404-5919
Phone number: 208-552-2109