Organization
JJST ENTERPRISES CORP
Active
Other names
R & R Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KAY ANDERSEN MCOUN LCPC (OWNER)
(208) 356-0088
Entity
Organization
Contact information
Practice address
1920 E 17TH ST STE 213, IDAHO FALLS, ID 83404-8036
(208) 356-0088
Mailing address
859 S YELLOWSTONE HWY STE 301, REXBURG, ID 83440-5321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC 2823
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164723334
—
ID
Enumeration date
04/02/2017
Last updated
04/02/2017
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