| Jody Sacia Llc | |
|
2535 W State St Ste 112 Boise ID 83702-2242 | |
| (608) 286-0662 | |
| Not Available |
| Full Name | Jody Sacia Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2535 W State St Ste 112, Boise, Idaho |
| Authorized Official Name and Position | Jody Sacia (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6082860662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Sacia Llc 4319 N Adams St Garden City ID 83714-4851 Ph: () - | Jody Sacia Llc 2535 W State St Ste 112 Boise ID 83702-2242 Ph: (608) 286-0662 |
| NPI Number | 1144079914 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144079914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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