MEDICARE: MRS. JENNIFER FREW BOYLL LMFTA

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	106H00000X	Marriage & Family Therapist	MG61589057	WA

General Provider Information

NPI Number	:	1609174960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER FREW BOYLL LMFTA

Provider Business Mailing Address
First Line	:	3502 E ROCKY RIDGE RD
Second Line	:
City	:	CHATTAROY
State	:	WA
Zip	:	99003-9649
Country	:	US
Telephone Number	:	812-508-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W CASCADE WAY STE 103
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-6000
Country	:	US
Telephone Number	:	509-413-2242
Fax Number	:	509-922-7947

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

Provider Enumeration Date	:	03/09/2011
Last Update Date	:	11/24/2025

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