Doctor Name: | RACHEL JESSEN |
NPI Number: | 1013094309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW-1486 |
Business Practice Address: | 5985 W State St Boise, ID - 837033039 |
Business Phone Number: | 2088530071 |
Business Fax Number: | 2088539422 |
Mailing Address: | 5985 W State St, BOISE |
State: | ID |
Postal Code: | 837033039 |
Phone Number: | 2088530071 |
Fax Number: | 2088539422 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-1486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |