Jenna Whaite Valid NPI
Individual provider · Social Worker · Eagle, ID
- NPI
- 1891115499
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 40339 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-04-22
- Last updated
- 2023-06-08
Practice location
136 S Academy Ave
Eagle, ID 83616-6541
(208) 254-1112