Jerilynn Blum is a Mental Health in Boise, Idaho. Jerilynn Blum practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerilynn Blum is 1437221710. The last update date is 2007-07-08.
Jerilynn Blum's current location address is 1510 Robert St, Boise, Idaho. You can contact this provider via phone number 2084291865 and fax number 2084291865. The mailing address for Jerilynn Blum is 1510 Robert St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerilynn Blum |
|---|---|
| Address | 1510 Robert St, Boise, Idaho |
| Phone Number | 2084291865 |
| Fax Number | 2084291865 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1437221710 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1510 Robert St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837052528 |
| Phone Number | 2084291865 |
| Fax Number | 2084291865 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LCPC-3477 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10028621 | ID | RBSI PROVIDER ID | |
| Q7106 | ID | ID BLUE CROSS PROVIDER ID |
Post Comment/ Review Below
What is the unique identifier code issued to Jerilynn Blum by the Centers for Medicare & Medicaid Services?
The Jerilynn Blum has been assigned the NPI (National Provider Identifier) 1437221710. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerilynn Blum?
The Jerilynn Blum is physically situated at 1510 Robert St, in the city of Boise, state of ID, with the postal code 837052528.
What is Jerilynn Blum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerilynn Blum's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date was the 1437221710 assigned to Jerilynn Blum?
The Jerilynn Blum was issued its 1437221710 on 2006-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerilynn Blum last refreshed?
The information related to the Jerilynn Blum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.