JERRY LILLY, ED.S
Counselor - Professional
Active
Individual
NPI: 1124390786
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LCPC-6990 (ID) |
Frequently Asked Questions
NPI 1124390786 is the National Provider Identifier for JERRY LILLY, ED.S, a Counselor - Professional provider located in Eagle, ID. This NPI was enumerated on January 29, 2012.
JERRY LILLY, ED.S practices at 172 S ACADEMY AVE STE 160, Eagle, ID 83616.
Quick Facts
- NPI
- 1124390786
- Type
- Individual
- Enumerated
- Jan 29, 2012
- Last Updated
- Sep 11, 2025
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