Individual provider · Type 1 NPI
Maria G. Jensen, RN, ICADC
Addiction (Substance Use Disorder) Counselor · Burley, ID
NPI number
1245408400
Active
Practice location
2975 Overland Ave
Burley, ID 83318-3231
Fax (208) 878-1336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | N-15573 (ID) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10256980 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Burley
About NPI 1245408400
Maria G. Jensen, RN, ICADC's National Provider Identifier is 1245408400, issued on Feb 11, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burley, ID. The record was last updated on Feb 11, 2008.