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Organization
JJST ENTERPRISES CORP.
Active
Organization
JJST ENTERPRISES CORP.
Active
Other names
REXBURG COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KAY ANDERSEN LCPC (OWNER)
(208) 356-0088
Entity
Organization
Contact information
Practice address
343 E 4TH N, SUITE 244, REXBURG, ID 83440-6002
(208) 356-0088
Mailing address
343 E 4TH N, SUITE 244, REXBURG, ID 83440-6002
(208) 356-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-2823
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508870676
BLUE CROSS
ID
05
—
1508870676
—
ID
Enumeration date
11/04/2010
Last updated
11/08/2011
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