Individual
RIKKI VICTORIA CLEMENS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1985 N MONACO WAY, MERIDIAN, ID 83646-1302
(208) 631-6146
(208) 938-8711
Mailing address
1985 N MONACO WAY, MERIDIAN, ID 83646-1302
(208) 631-6146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6169
ID
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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