Carlson, Jessica C.

Carlson, Jessica C. is an individual health care provider with primary practice located at 1975 Martha Ave , Idaho Falls ID 83404-7580. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Jessica C. can be contacted via phone (208) 529-4300.

Contact Information

Primary practice address
1975 Martha Ave Idaho Falls ID 83404-7580
Phone: (208) 529-4300
Fax: (208) 529-1627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-3413 Idaho

Profile Details

NPI number 1518110972
LBN Legal business name Carlson, Jessica C.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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