Individual provider · Type 1 NPI
Mary Amanda Jensen, CADC
Addiction (Substance Use Disorder) Counselor · Rigby, ID
NPI number
1265078935
Active
Practice location
3990 E 20 N
Rigby, ID 83442-5818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11526 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Rigby
About NPI 1265078935
Mary Amanda Jensen, CADC's National Provider Identifier is 1265078935, issued on Nov 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rigby, ID. The record was last updated on Nov 18, 2019.