-- BARRY EDWARD JENKS -- LPC, NCC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1659688273- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC, NCC
- Status
- Active
Contact & Location
- Address
- 2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473142
- Phone
- (208) 366-7416
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-4573
All Addresses
MAILING
PO BOX 266
GLENNS FERRY, ID, 836230266