Provider Demographics
NPI:1407296213
Name:VANORDER-MAY, JILL K (LPC)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:K
Last Name:VANORDER-MAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16951 N THURGOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9164
Mailing Address - Country:US
Mailing Address - Phone:208-461-5079
Mailing Address - Fax:
Practice Address - Street 1:16951 N THURGOOD LOOP
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-9164
Practice Address - Country:US
Practice Address - Phone:208-461-5079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional