Individual
JENNIFER WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2620 COMMERCIAL WAY STE 140, ROCK SPRINGS, WY 82901-4750
(435) 755-6061
(435) 994-8362
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1691
WY
Other
Enumeration date
03/09/2022
Last updated
10/01/2025
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