Individual provider · Type 1 NPI

Jennifer Bunderson

Addiction (Substance Use Disorder) Counselor · Pocatello, ID

NPI number 1790575355 Active

Practice location

101 S Main St
Pocatello, ID 83204-3210

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790575355

Jennifer Bunderson's National Provider Identifier is 1790575355, issued on May 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pocatello, ID. The record was last updated on May 7, 2025.