Mr. CHARLES MICHAEL JEWELL -- LPC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1518978949- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 500 W FORT ST BLDG 23, BOISE, ID, 837024501
- Phone
- (208) 422-1000
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LPC-2785
All Addresses
MAILING
PO BOX 1364
MOUNTAIN HOME, ID, 836471364