Davina Gjennestad
NPI #1902396153 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1902396153
- Entity Type
- Individual
- Name
- Davina Gjennestad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 14, 2018
- Last Updated
- May 14, 2018
Practice Location
- Address
- 264 MAIN AVE S
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6232
- Phone
- (208) 734-0407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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