Search › Idaho › 1041C0700X
Carla Jensen, PHD, LCSW MFT
NPI 1023176708 · on the registry since 2006 · sole proprietor
Practice
- Address
- 198 S Old Quarry Way
Boise, ID 83709 - Phone
- (208) 914-0877
- Fax
- (208) 321-2773
- Organisation at this address
- Universal Enterprise Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 106H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho