Jodi Hyde

NPI #1114322906 in Idaho Falls, Idaho

Provider Information

NPI Number: 1114322906
Entity Type: Individual
Name: Jodi Hyde
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 23, 2014
Last Updated: Oct 6, 2021

Practice Location

Address: 1075 S UTAH AVE STE 356
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3334
Phone: (208) 541-4295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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