MYKELL VALENTINA JEPPESEN

IDAHO FALLS, ID
NPI1811762727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  LMSW-43873)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  CADC-5049)
Enumeration Date2023-11-20
Last Update Date2023-12-05
Business Address
MYKELL VALENTINA JEPPESEN LMSW, CADC
685 1ST ST
IDAHO FALLS, ID 83401-4003
Phone number: 208-932-4493
Mailing Address
MYKELL VALENTINA JEPPESEN LMSW, CADC
223 GEORGETOWN DR # SR
REXBURG, ID 83440-5274
Phone number: 806-477-9722