| Jerry Duane Lilly, EDS | |
|
172 S Academy Ave Ste 160, Eagle, ID 83616-6564 | |
| (208) 315-4855 | |
| Not Available |
| Full Name | Jerry Duane Lilly |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 172 S Academy Ave Ste 160, Eagle, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124390786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-6990 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Duane Lilly, EDS 12073 N Humphreys Way, Boise, ID 83714-9343 Ph: (208) 315-4855 | Jerry Duane Lilly, EDS 172 S Academy Ave Ste 160, Eagle, ID 83616-6564 Ph: (208) 315-4855 |
Ms. Carol Tidwell, MS. LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt A308, Eagle, ID 83616 Phone: 208-546-1808 | |
Kenzington Price, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616 Phone: 208-938-2836 Fax: 208-938-2897 | |
Angela Brewster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 W State St, Eagle, ID 83616 Phone: 406-570-4698 | |
Mrs. Megan Irene Osborne, PH.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 764 E. Ashbourne Ln., Eagle, ID 83616 Phone: 208-734-0022 Fax: 208-734-0855 | |
Dr. Logan Marsh Lamprecht, PH.D., LCPC, M. COUN Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 E Riverside Dr # 120533e, Eagle, ID 83616 Phone: 208-339-1279 | |
Megan Koehler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-861-5279 | |
Jacob Gary Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1197 S River Flow Way, Eagle, ID 83616 Phone: 208-921-0796 |