NPI 1003185745

Jessica Dee Maitri, LCSW

Practitioner Mental Health Counselor Boise, ID

Practice location

Address: 500 W Idaho St STE 250, Boise, ID 83702-5756
Phone: (208) 863-8210
Mailing address: PO Box 1533, Boise, ID 83701-1533

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCSW-32437 (ID)

Other Counselor providers in Idaho →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-30582 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003185745
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2011
Record last updated: 16 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.