JACOB DUNCAN
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1144152703- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3700 W SELTICE WAY, COEUR D ALENE, ID, 838148921
- Phone
- (208) 620-5255
Specialties & Taxonomies
Counselor, Professional
Primary
All Addresses
MAILING
8833 N DAVIS CIR
HAYDEN, ID, 838358229