Wood, Jerrilynne
Wood, Jerrilynne is an individual health care provider with primary practice located at 111 E 16Th St , Idaho Falls ID 83404-5919. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wood, Jerrilynne can be contacted via phone (208) 552-2109.Contact Information
Primary practice address
111 E 16Th St
Idaho Falls ID 83404-5919
Phone: (208) 552-2109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC4457 | Idaho |
Profile Details
| NPI number | 1568898013 |
|---|---|
| LBN Legal business name | Wood, Jerrilynne |
| Credentials | LCPC-4457 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2013 |
| Last updated | Sep 16th, 2013 - about 13 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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