License holder summary

JESSICA DEE BASTIAN is a Idaho Board Of Psychologist Examiners - Service Extender licensed to practice in Idaho. The address on file for JESSICA DEE BASTIAN is BOISE ID 83701. This licensed professional license is not current. The license was granted 12/01/2011 and expired on 12/01/2012.

Idaho

Division of Occupational and Professional Licenses

JESSICA DEE BASTIAN
Idaho Board Of Psychologist Examiners - Service Extender
License number
SE - 202641
Date granted
12/01/2011
Date expires
12/01/2012
Class
Idaho Board Of Psychologist Examiners - Service Extender
Status
Not Current
Address
BOISE ID 83701
idaholicensing.com
ID 19688861
LAST UPDATED 2026-05-09 11:28:56 UTC

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