JESSICA SARA MIKELONIS LPC
NPI 1841045317
Counselor - Professional in Boise, ID
- Individual
- Female
- Counselor
- Professional
About JESSICA MIKELONIS
This page provides the complete NPI Profile along with additional information for Jessica Mikelonis, a provider established in Boise, Idaho with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1841045317 assigned on April 2024. The practitioner's primary taxonomy code is 101YP2500X with license number 2646 (ID). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1841045317 Verify this NPI
- Provider Name
- JESSICA SARA MIKELONIS LPC
- Other Name
- JESSICA SARA VALLIN LPC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1111 S ORCHARD ST STE 245 BOISE, ID 83705
- Location Phone
- (208) 867-9403
- Mailing Address
- 1111 S ORCHARD ST STE 245 BOISE, ID 83705
- Mailing Phone
- (208) 867-9403
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-18-2024
- Last Update Date
- 04-18-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2646
- License State
- ID
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841045317, enumerated as an "individual" on April 18, 2024.
The provider is located at 1111 S ORCHARD ST STE 245 BOISE, ID 83705 and the phone number is (208) 867-9403.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
