Mary Amanda Jensen, CADC

NPI #1265078935 in Rigby, Idaho

Provider Information

NPI Number: 1265078935
Entity Type: Individual
Name: Mary Amanda Jensen, CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC
Enumeration Date: Nov 18, 2019
Last Updated: Nov 18, 2019

Practice Location

Address: 3990 E 20 N
City: Rigby
State: Idaho
ZIP Code: 83442-5818
Phone: (208) 390-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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