| Jx2 Llc | |
|
1253 N Cole Rd Suite 100 Boise ID 83704-8647 | |
| (208) 319-0700 | |
| (208) 321-5069 |
| Full Name | Jx2 Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1253 N Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Jeremy Evans (BILLING SUPERVISOR) |
| Authorized Official Contact | 2083239130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jx2 Llc Po Box 16820 Boise ID 83715-6820 Ph: (208) 323-9130 | Jx2 Llc 1253 N Cole Rd Suite 100 Boise ID 83704-8647 Ph: (208) 319-0700 |
| NPI Number | 1588967020 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588967020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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