Organization
ASPEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA L JENSEN LCPC (OWNER)
(208) 357-2391
Entity
Organization
Contact information
Practice address
753 ASPEN AVE, SHELLEY, ID 83274-1464
(208) 357-2391
Mailing address
753 ASPEN AVE, SHELLEY, ID 83274-1464
(208) 357-2391
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC - 4454
ID
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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