Ivie, Christine M

Ivie, Christine M is an sole proprietor health care provider with primary practice located at 41 Northridge Way , Jerome ID 83338-6200. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ivie, Christine M can be contacted via phone (208) 871-7749.

Contact Information

Primary practice address
41 Northridge Way Jerome ID 83338-6200
Phone: (208) 871-7749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-815 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1679268106
LBN Legal business name Ivie, Christine M
Credentials LPC - 815
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2023
Last updated Apr 10th, 2023 - about last year

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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