| Jesstherapy Pllc | |
|
30410 Highway 200 Ste 200b-3 Ponderay ID 83852-9601 | |
| (208) 627-7918 | |
| Not Available |
| Full Name | Jesstherapy Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30410 Highway 200 Ste 200b-3, Ponderay, Idaho |
| Authorized Official Name and Position | Jessica Bomar (OWNER) |
| Authorized Official Contact | 2086277918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesstherapy Pllc 217 Cedar St # 302 Sandpoint ID 83864-1410 Ph: (208) 627-7918 | Jesstherapy Pllc 30410 Highway 200 Ste 200b-3 Ponderay ID 83852-9601 Ph: (208) 627-7918 |
| NPI Number | 1447075015 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447075015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Ahm Psr Sandpoint Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-265-4535 Fax: 208-263-4198 | |
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-265-4535 Fax: 208-263-4198 | |
7b Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30544 Highway 200 Bldg 300, Ponderay, ID 83852 Phone: 208-946-7333 Fax: 208-625-2066 |