Individual
MR. CLAIGH H JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1600 JOHN ADAMS PKWY, SUITE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
(208) 529-6506
Mailing address
1600 JOHN ADAMS PKWY, SUITE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
(208) 529-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29273
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11538493
CAQH
VA
Enumeration date
01/23/2007
Last updated
09/25/2008
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