Individual
JENNIFER JO HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 274-4565
Mailing address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 274-4565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9712
ID
Other
Enumeration date
08/29/2023
Last updated
10/02/2023
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