| Jaimie Cain Llc | |
|
2210 N 31st St Boise ID 83703-5626 | |
| (208) 440-5125 | |
| Not Available |
| Full Name | Jaimie Cain Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2210 N 31st St, Boise, Idaho |
| Authorized Official Name and Position | Jaimie Lee Cain (SOCIAL WORKER) |
| Authorized Official Contact | 2084405125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaimie Cain Llc 2210 N 31st St Boise ID 83703-5626 Ph: (208) 440-5125 | Jaimie Cain Llc 2210 N 31st St Boise ID 83703-5626 Ph: (208) 440-5125 |
| NPI Number | 1164964045 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164964045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-35753 (Idaho) | Primary |
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