Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Bazzle, LPC

Individual provider Professional Counselor · NPI 1669844320

Jacqueline Bazzle, LPC is a Professional Counselor in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6126 W State St # 409
Boise, ID 83703-2741
Phone: (208) 376-7083
Fax: (208) 321-5069
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC5973 (ID)

Record details

NPI number1669844320
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address6126 W State St # 409, Boise, ID 83703-2741

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