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Mrs. Maria G Jensen, RN,ICADC
Addiction (Substance Use Disorder) Counselor in Burley, Idaho
NPI 1245408400

Maria G Jensen is an Addiction (Substance Use Disorder) Counselor based in Burley, ID and is specialized in Addiction (Substance Use Disorder). Maria G Jensen practices in Burley, ID and has the professional credentials of RN,ICADC. The NPI Number for Maria G Jensen is 1245408400 and holds a License No. N-15573 (Idaho).

The current practice location address for Maria G Jensen is 2975 Overland Ave, Burley, ID and can be reached out via phone at 208-878-2600 and via fax at 208-878-1336.

Location: 2975 Overland Ave, Burley, ID, 83318-3231
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Provider Profile Details
NPI Number
1245408400
Provider Name
Maria G Jensen
Credential
RN,ICADC
Provider Entity Type
Individual
Gender
Female
Address
2975 Overland Ave, Burley, ID, 83318-3231
Phone Number
208-878-2600
Fax Number
208-878-1336
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010028634 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2975 Overland Ave
City
State
Zip
83318-3231
Phone Number
208-878-2600
Fax Number
208-878-1336
person
Provider Business Mailing Address Details
Address
2975 Overland Ave
City
State
Zip
83318-3231
Phone Number
208-878-2600
Fax Number
208-878-1336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
N-15573 (Idaho)
Definition
Definition to come...
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