Jeremiah Woodruff, LPC

NPI #1376400978 in Rexburg, Idaho

Provider Information

NPI Number
1376400978
Entity Type
Individual
Name
Jeremiah Woodruff, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jan 6, 2026
Last Updated
Jan 20, 2026

Practice Location

Address
859 S YELLOWSTONE HWY STE 302
State
Idaho
ZIP Code
83440-5294
Phone
(208) 557-1227

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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