Individual
JENELLE MARIE HAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 E INDIANA AVE, COEUR D ALENE, ID 83814-4236
(949) 373-6676
Mailing address
1014 E INDIANA AVE, COEUR D ALENE, ID 83814-4236
(949) 373-6676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
COUI-9143
ID
101YP2500X
Professional Counselor
Primary
LPC-9295
ID
Other
Enumeration date
11/02/2022
Last updated
01/12/2023
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