Jerry Duane Lilly, ED.S

NPI #1124390786 in Eagle, Idaho

Provider Information

NPI Number
1124390786
Entity Type
Individual
Name
Jerry Duane Lilly, ED.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
ED.S
Enumeration Date
Jan 29, 2012
Last Updated
Sep 11, 2025

Practice Location

Address
172 S ACADEMY AVE STE 160
City
Eagle
State
Idaho
ZIP Code
83616-6564
Phone
(208) 315-4855

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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