Individual
KRISTEN JEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 S MAIN ST, POCATELLO, ID 83204-3210
(208) 232-8840
Mailing address
323 N 200 W, SALT LAKE CITY, UT 84103-1204
(646) 404-1798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8950
ID
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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