Individual
JENNIFER ANN LA JEUNESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 S EAGLE RD STE 2106, MERIDIAN, ID 83642-6363
(208) 706-5775
(208) 706-5777
Mailing address
5648 N PARCHMENT AVE, BOISE, ID 83713-1270
(208) 629-5119
(208) 706-5777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28431
ID
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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