Individual
DR. JAMES DAVID JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2807 W GEM ST, BOISE, ID 83705-1732
(208) 861-6643
Mailing address
2807 W GEM ST, BOISE, ID 83705-1732
(208) 861-6643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2900
ID
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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