Individual
AMANDA JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(646) 453-6777
Mailing address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6244
ID
101YP2500X
Professional Counselor
Primary
LPC-6244
ID
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
04/27/2026
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