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1922561612
JESSICA IVANCIC
BOISE, ID
NPI
1922561612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC7364)
Enumeration Date
2019-04-09
Last Update Date
2024-02-16
Business Address
JESSICA IVANCIC MS, LCPC
3320 N MILWAUKEE ST STE 160
BOISE, ID 83704-0726
Phone number: 208-817-0965
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Mailing Address
JESSICA IVANCIC MS, LCPC
3320 N MILWAUKEE ST STE 160
BOISE, ID 83704-0726
Phone number:
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