| Ms Jessie Elaine Sullivan, LCPC,LMFT | |
|
660 S Woodruff Ave, Idaho Falls, ID 83401-5299 | |
| (208) 523-1558 | |
| (208) 529-4788 |
| Full Name | Ms Jessie Elaine Sullivan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 660 S Woodruff Ave, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063674786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-119 (Idaho) | Primary |
| 106H00000X | Marriage & Family Therapist | LMFT-2963 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessie Elaine Sullivan, LCPC,LMFT 3785 Colts Glen Ln, Idaho Falls, ID 83404-8353 Ph: (208) 524-2411 | Ms Jessie Elaine Sullivan, LCPC,LMFT 660 S Woodruff Ave, Idaho Falls, ID 83401-5299 Ph: (208) 523-1558 |
Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352 | |
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447 | |
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934 | |
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712 | |
Jennie R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 | |
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335 | |
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 |