Healthcare Provider Details

I. General information

NPI: 1942900543
Provider Name (Legal Business Name): JMH COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S ORCHARD ST STE 160
BOISE ID
83705-1295
US

IV. Provider business mailing address

9663 W MACAW ST
BOISE ID
83704-1253
US

V. Phone/Fax

Practice location:
  • Phone: 208-484-0312
  • Fax:
Mailing address:
  • Phone: 208-484-0312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIE MARIE HAMBLETON
Title or Position: COUNSELOR AND OWNER
Credential: LPC, NCC
Phone: 208-484-0312