Neill Jenson's National Provider Identifier (NPI) Details
Neill Jenson, LPC, NCC
NPI: 1265951388
Enumeration Date: 2017-09-11
Last updated: 2017-09-11
Sole Proprietor: NO
Status: active
Postal Address: 1309 CAMAS ST, BLACKFOOT, ID
Phone: 208-782-0675
Primary Practice Address: 1309 CAMAS ST, BLACKFOOT, ID
Practice's phone: 208-782-0675