Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY AMANDA JENSEN, CADC
ActiveAddiction (Substance Use Disorder) Counselor · RIGBY, ID
Registration Details
- NPI Number
- 1265078935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2019 (6.4253630857451 yrs)
- Last Updated
- Nov 18, 2019
- License
-
11526 (ID)
Practice Information
- Address
-
3990 E 20 NRIGBY, ID, 834425818Browse ID providers · Browse ZIP 83442
- Phone
- 2083907373
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RIGBY, ID
| Name | Credential | NPI |
|---|---|---|
| TERRI DODGE | CADC | 1134555626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.