NPI 1134875974

Jacky Ann King

Practitioner Social Worker Payette, ID

Practice location

Address: 250 S Main St, Payette, ID 83661-2853
Phone: (208) 405-0020
Mailing address: 9 N 3rd St W, Homedale, ID 83628-3133

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Idaho →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Idaho →

Registry record

NPI: 1134875974
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2022
Record last updated: 1 Mar 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.