JACKELLE KNICKREHM

BOISE, ID
NPI1740962315
Former NameJACKELLE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LMSW-35335)
Enumeration Date2023-08-03
Last Update Date2024-06-14
Business Address
JACKELLE KNICKREHM LMSW
410 S ORCHARD ST STE 184
BOISE, ID 83705-1293
Phone number: 208-922-6714
Mailing Address
JACKELLE KNICKREHM LMSW
410 S ORCHARD ST
BOISE, ID 83705-1260
Phone number:
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