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NPI Code Detail

MEDICARE: JENNIFER YTURRIONDOBEITIA QMHA

MEDICARE: JENNIFER YTURRIONDOBEITIA QMHA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1699897157
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YTURRIONDOBEITIA QMHA
Provider Business Mailing Address
First Line : 11485 PAYETTE HEIGHTS RD
Second Line :
City : PAYETTE
State : ID
Zip : 83661-5012
Country : US
Telephone Number : 208-899-9012
Fax Number :
Provider Business Practice Location Address
First Line : 824 S DIAMOND ST
Second Line :
City : NAMPA
State : ID
Zip : 83686-5960
Country : US
Telephone Number : 541-889-9167
Fax Number : 541-889-7873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 10/28/2022

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Directions to “ JENNIFER YTURRIONDOBEITIA QMHA” Practice Location

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