Edmiston, Jeffery

Edmiston, Jeffery is an sole proprietor health care provider with primary practice located at 4144 E Amity Ave , Nampa ID 83687-8802. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Edmiston, Jeffery can be contacted via phone (208) 465-4985.

Contact Information

Primary practice address
4144 E Amity Ave Nampa ID 83687-8802
Phone: (208) 465-4985
Fax: (208) 318-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCPC-5607 Idaho

Profile Details

NPI number 1407284698
LBN Legal business name Edmiston, Jeffery
Credentials M.S., LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2013
Last updated Sep 25th, 2014 - about 10 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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