JUSTIN JACOBS HACKING

BOISE, ID
NPI1932449667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-5125)
Enumeration Date2013-02-16
Last Update Date2013-04-16
Business Address
-- JUSTIN JACOBS HACKING LPC
1011 W WILLIAMS ST SUITE G
BOISE, ID 83706-3564
Phone number: 208-991-0077
Mailing Address
-- JUSTIN JACOBS HACKING LPC
1011 W WILLIAMS ST SUITE G
BOISE, ID 83706-3564
Phone number: 208-991-0770
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