JESSICA CHILCOTT LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1104248194- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 923 16TH AVE S, NAMPA, ID, 836514731
- Phone
- (208) 639-1514
Specialties & Taxonomies
Social Worker
License: ID #LMSW-33100
Social Worker, Clinical
License: CA #LCSW99966
Social Worker, Clinical
Primary License: ID #LCSW-38409
All Addresses
MAILING
2322 POLK ST
CALDWELL, ID, 836052357