JEREMY ROBERTSON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1497604912- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1910 UNIVERSITY DR, BOISE, ID, 837250001
- Phone
- (208) 426-1459
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #6371294
All Addresses
MAILING
4735 ADAMS ST
GARDEN CITY, ID, 837144747