Individual
JENNIFER WESEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
175 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 917-1863
(208) 906-0815
Mailing address
175 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 917-1863
(208) 906-0815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9127
ID
101YM0800X
Mental Health Counselor
LPC-7700
ID
Other
Enumeration date
07/30/2020
Last updated
06/05/2023
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