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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK A VENBRUX, M.A., LCPC, LMHC

Active Sole Proprietor

JACK A VENBRUX, M.A., LCPC, LMHC is a Mental Health Counselor healthcare provider located in COEUR D ALENE, Idaho. NPI 1679759500 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · COEUR D ALENE, ID

Registration Details

NPI Number
1679759500
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2008 (18.60950591468 yrs)
Last Updated
Oct 25, 2018
Licenses
LH60249089 (WA)
LCPC-6701 (ID)
Sole Proprietor
Yes

Practice Information

Address
1103 W IRONWOOD DR
COEUR D ALENE, ID, 838142604
Browse ID providers · Browse ZIP 83814
Phone
5093365972
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in COEUR D ALENE, ID

Name Credential NPI
CATHLEEN JOYCE MARCEAU LCSW 1457417362
INGRID ELIZABETH MADSEN LCPC 1477610525
MS. VICKI ANN MCLAUGHLIN LCPC, NCC, CRC, DCC 1659420461
MS. BARBARA MACE-TUCKER LCSW 1851442149
MR. JAMES R EDWARDS LCSW 1992856694
MR. FLOYD HAROLD FRAZIER LCPC 1417003690
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.