JACKELLE N KNICKREHM

EAGLE, ID
NPI1740962315
Former NameJACKELLE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LMSW-35335)
Enumeration Date2023-08-03
Last Update Date2025-01-07
Business Address
Ms. JACKELLE N KNICKREHM LMSW
136 S ACADEMY AVE
EAGLE, ID 83616
Phone number: 208-254-1112
Mailing Address
Ms. JACKELLE N KNICKREHM LMSW
136 S ACADEMY AVE
EAGLE, ID 83616
Phone number: 208-254-1112