Individual
JENNIFER JOY AWIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 EAST ALICE, BLACKFOOT, ID 83221
(208) 705-6347
(208) 785-5877
Mailing address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-2434
(833) 390-1293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-8861402
ID
104100000X
Social Worker
Primary
LSW-29428
ID
Other
Enumeration date
04/11/2016
Last updated
02/06/2026
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