Bazzle, Jacqueline
Bazzle, Jacqueline is an individual health care provider with primary practice located at 6126 W State St # 409 , Boise ID 83703-2741. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bazzle, Jacqueline can be contacted via phone (208) 376-7083.Contact Information
Primary practice address
6126 W State St # 409
Boise ID 83703-2741
Phone: (208) 376-7083
Fax: (208) 321-5069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC5973 | Idaho |
Profile Details
| NPI number | 1669844320 |
|---|---|
| LBN Legal business name | Bazzle, Jacqueline |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Dec 16th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669844320 | NPPES |
| Idaho | Other | LPC5973 | STATE LICENSE |
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