Jensen, Carla

Jensen, Carla is an sole proprietor health care provider with primary practice located at 198 S Old Quarry Way , Boise ID 83709-0541. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jensen, Carla can be contacted via phone (208) 914-0877.

Contact Information

Primary practice address
198 S Old Quarry Way Boise ID 83709-0541
Phone: (208) 914-0877
Fax: (208) 321-2773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-2911 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-24629 Idaho

Profile Details

NPI number 1023176708
LBN Legal business name Jensen, Carla
Credentials PHD, LCSW MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Oct 3rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023176708 NPPES
Idaho Other L3928 BLUE CROSS OF IDAHO
Idaho Other 000010147740 BLUE CROSS OF IDAHO

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