Individual
GRIFFITH JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W FRONT ST STE 302, BOISE, ID 83702-5122
(208) 917-2086
(208) 330-4447
Mailing address
401 W FRONT ST STE 302, BOISE, ID 83702-5122
(208) 917-2086
(208) 330-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
011284
NY
101YM0800X
Mental Health Counselor
6401222794
MI
101YM0800X
Mental Health Counselor
Primary
LPC-8121
ID
Other
Enumeration date
01/03/2019
Last updated
07/17/2023
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