Hyde, Jodi

Hyde, Jodi is an individual health care provider with primary practice located at 1075 S Utah Ave Ste 356 , Idaho Falls ID 83402-3334. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hyde, Jodi can be contacted via phone (208) 541-4295.

Contact Information

Primary practice address
1075 S Utah Ave Ste 356 Idaho Falls ID 83402-3334
Phone: (208) 541-4295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LAC-15121 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-7875 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 340782-6004 Utah
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-17984 Arizona

Profile Details

NPI number 1114322906
LBN Legal business name Hyde, Jodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Oct 6th, 2021 - about 5 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.

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