MEDICARE: JEREMY RAMPTON MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477825453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY RAMPTON MS

Provider Business Mailing Address
First Line	:	3611 N LOCUST GROVE RD STE B
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5924
Country	:	US
Telephone Number	:	208-918-9198
Fax Number	:	208-914-7641

Provider Business Practice Location Address
First Line	:	3611 N LOCUST GROVE RD STE B
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5924
Country	:	US
Telephone Number	:	208-918-9198
Fax Number	:	208-914-7641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2012
Last Update Date	:	11/28/2023

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Directions to “ JEREMY RAMPTON MS” Practice Location

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