Jessica Nickerson, LCSW

NPI #1467792036 in Ammon, Idaho

Provider Information

NPI Number: 1467792036
Entity Type: Individual
Name: Jessica Nickerson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 19, 2013
Last Updated: Jun 26, 2023

Practice Location

Address: 1329 AMMON PARK DR
City: Ammon
State: Idaho
ZIP Code: 83406-4591
Phone: (208) 534-5554

Specialties & Taxonomy Codes

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

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