Whalio Doctors

NPI 1013094309

Rachel Jessen, LCSW

Practitioner Clinical Social Worker Boise, ID

Practice location

Address
5985 W State St, Boise, ID 83703-3039
Phone
(208) 853-0071
Fax
(208) 853-9422

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-1486 (ID)

Registry record

NPI
1013094309
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.