JENNIFER LYNN DURHAM MA
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1851199152- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA
- Status
- Active
Contact & Location
- Address
- 1309 CAMAS ST, BLACKFOOT, ID, 832213060
- Phone
- (208) 782-0675
Specialties & Taxonomies
Counselor
Primary License: ID #COUI-10122