MS. Sally Jo Leyse, LCPC

NPI #1720099203 in Jerome, Idaho

Provider Information

NPI Number
1720099203
Entity Type
Individual
Name
MS. Sally Jo Leyse, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Aug 10, 2006
Last Updated
Oct 29, 2014

Practice Location

Address
601A PIONEER MOUNTAIN LOOP
City
Jerome
State
Idaho
ZIP Code
83338-6557
Phone
(208) 420-5902

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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