Carlson, Jessica C.
Carlson, Jessica C. is an individual health care provider with primary practice located at 1975 Martha Ave , Idaho Falls ID 83404-7580. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Jessica C. can be contacted via phone (208) 529-4300.Contact Information
Primary practice address
1975 Martha Ave
Idaho Falls ID 83404-7580
Phone: (208) 529-4300
Fax: (208) 529-1627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-3413 | Idaho |
Profile Details
| NPI number | 1518110972 |
|---|---|
| LBN Legal business name | Carlson, Jessica C. |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Oct 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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