Charles William Jenks

NPI #1295145985 in Pocatello, Idaho

Provider Information

NPI Number: 1295145985
Entity Type: Individual
Name: Charles William Jenks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 2, 2014
Last Updated: May 2, 2014

Practice Location

Address: 1246 YELLOWSTONE AVE STE C5
City: Pocatello
State: Idaho
ZIP Code: 83201-4373
Phone: (208) 233-0150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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