Provider Information for 1184764474
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Ms. JYL E ADAMS LCSW
Other Names:Professional Name:Mrs. JYL E ADAMS LCSWSex: Female
NPI: 1184764474
Last Updated: 2024-12-13
Certification Date: 2024-12-12
Certification Date: 2024-12-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184764474 | ||||||||||||
| Enumeration Date | 2007-02-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 596 W OAKHAMPTON DR EAGLE, ID 83616-6741 United States Phone: 208-484-3359 | Fax: | ||||||||||||
| Primary Practice Address | 596 W OAKHAMPTON DR EAGLE, ID 83616-6741 United States Phone: 208-321-4166 | Fax:208-321-4167 | ||||||||||||
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