Individual
MINDY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
335 E MAIN ST, SAINT ANTHONY, ID 83445-1546
(208) 356-4900
(208) 624-4030
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40962
ID
Other
Enumeration date
06/29/2018
Last updated
06/29/2021
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