Jessica Angelic Bullwinkle in Eagle - Marriage & Family Therapist
Jessica Angelic Bullwinkle - NPI 1851583405
Jessica Angelic Bullwinkle is a Marriage & Family Therapist in Eagle, Idaho. Jessica Angelic Bullwinkle practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jessica Angelic Bullwinkle is 1851583405. The last update date is 2021-08-24.
Jessica Angelic Bullwinkle's current location address is 2618 E Snocreek Dr, Eagle, Idaho. You can contact this provider via phone number 4085999562 and fax number 4083502021. The mailing address for Jessica Angelic Bullwinkle is 2618 E Snocreek Dr, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica Angelic Bullwinkle |
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Address | 2618 E Snocreek Dr, Eagle, Idaho |
Phone Number | 4085999562 |
Fax Number | 4083502021 |
Sole Proprietor | Y |
Credentials | LMFT |
NPI Number Detail
NPI Number | 1851583405 |
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Provider Enumeration Date | 2007-08-16 |
Last Updated Date | 2021-08-24 |
Provider Mailing Address Detail
Address | 2618 E Snocreek Dr |
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City | Eagle |
State | Idaho (ID) |
Post Code | 836165816 |
Phone Number | 4085999562 |
Fax Number | 4083502021 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | MFC49357 |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Jessica Angelic Bullwinkle by the Centers for Medicare & Medicaid Services (CMS)?
The Jessica Angelic Bullwinkle has been assigned the NPI (National Provider Identifier) 1851583405. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jessica Angelic Bullwinkle's physical address?
The Jessica Angelic Bullwinkle is physically located at 2618 E Snocreek Dr, in the city of Eagle, ID, with the postal code 836165816.
What is Jessica Angelic Bullwinkle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica Angelic Bullwinkle is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did Jessica Angelic Bullwinkle receive its 1851583405 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Angelic Bullwinkle was assigned its 1851583405 on 2007-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jessica Angelic Bullwinkle's information last updated?
The Jessica Angelic Bullwinkle's information was last updated on 2021-08-24.