Jeppesen, Amy K
Jeppesen, Amy K is an sole proprietor health care provider with primary practice located at 8950 W Emerald St Suite 178, Boise ID 83704-4854. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jeppesen, Amy K can be contacted via phone (208) 376-7083.Contact Information
Primary practice address
8950 W Emerald St Suite 178
Boise ID 83704-4854
Phone: (208) 376-7083
Fax: (208) 321-5069
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 374774-3501 | Utah |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-27936 | Idaho |
Profile Details
NPI number | 1467605642 |
---|---|
LBN Legal business name | Jeppesen, Amy K |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2008 |
Last updated | Dec 27th, 2012 - about 12 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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