Individual
LAUREN JESSICA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1329 AMMON PARK DR, AMMON, ID 83406-4591
(208) 403-0135
Mailing address
169 GETTYSBURG LN, IDAHO FALLS, ID 83404-8426
(208) 881-2039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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