Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerrilynne Wood, LCPC-4457

Individual provider Mental Health Counselor · NPI 1568898013

Jerrilynne Wood, LCPC-4457 is a Mental Health Counselor in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
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Practice location Address checks out

111 E 16th St
Idaho Falls, ID 83404-5919
Phone: (208) 552-2109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC4457 (ID)

Record details

NPI number1568898013
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC-4457
Sole proprietorNo
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2013

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