Jjst Enterprises Corp.

NPI #1164723334 in Rexburg, Idaho

Provider Information

NPI Number: 1164723334
Entity Type: Organization
Organization Name: Jjst Enterprises Corp.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 4, 2010
Last Updated: Nov 8, 2011

Practice Location

Address: 343 E 4TH N
Address 2: SUITE 244
City: Rexburg
State: Idaho
ZIP Code: 83440-6002
Phone: (208) 356-0088

Authorized Official

Name: MR. SCOTT KAY ANDERSEN, LCPC
Title: OWNER
Phone: (208) 356-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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