Individual
MR. JASON KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
205 107TH ST, OROFINO, ID 83544-9381
(208) 476-7483
(208) 476-3144
Mailing address
205 107TH ST, OROFINO, ID 83544-9381
(208) 476-7483
(208) 476-3144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-26572
ID
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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