Pence Harrington, Jerilyn

Pence Harrington, Jerilyn is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pence Harrington, Jerilyn can be contacted via phone (208) 785-4100.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 785-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCSW-33446 Idaho
Behavioral Health & Social Service Providers / Counselor 101Y00000X 7759507-3502 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1366730012
LBN Legal business name Pence Harrington, Jerilyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2011
Last updated Oct 17th, 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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