Henderson, Jennifer Lee

Henderson, Jennifer Lee is an sole proprietor health care provider with primary practice located at 111 E. 16Th Street Innovative Health Care Concepts Inc., Idaho Falls ID 83401. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Henderson, Jennifer Lee can be contacted via phone (208) 529-8526.

Contact Information

Primary practice address
111 E. 16Th Street Innovative Health Care Concepts Inc. Idaho Falls ID 83401
Phone: (208) 529-8526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-203029 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810005625 Virginia

Profile Details

NPI number 1386986412
LBN Legal business name Henderson, Jennifer Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Sep 14th, 2017 - about 9 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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