Jessica Raeanne Chapman

NPI #1245967512 in Ponderay, Idaho

Provider Information

NPI Number: 1245967512
Entity Type: Individual
Name: Jessica Raeanne Chapman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 5, 2022
Last Updated: Jul 10, 2025

Practice Location

Address: 30410 HIGHWAY 200 STE 200B-3
City: Ponderay
State: Idaho
ZIP Code: 83852-9601
Phone: (208) 627-7819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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