Individual
DAVINA GJENNESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 MAIN AVE S, TWIN FALLS, ID 83301-6232
(208) 734-0407
Mailing address
357 BLUE LAKES BLVD N APT 1, TWIN FALLS, ID 83301-4876
(334) 750-7785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6907
ID
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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