JACOB MICHAEL OOSTENDORP

BOISE, ID
NPI1578157475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-9008)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: ID  LPC-9008)
Enumeration Date2021-02-22
Last Update Date2025-07-22
Business Address
JACOB MICHAEL OOSTENDORP LPC
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
Mailing Address
JACOB MICHAEL OOSTENDORP LPC
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320