Individual
CHRISTOPHER JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(785) 350-4923
Mailing address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-8745
ID
101YP2500X
Professional Counselor
LPC.0012587
CO
Other
Enumeration date
03/28/2017
Last updated
01/12/2023
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