| Doctor Name: | MR. CLAIGH H JENSEN |
| NPI Number: | 1033263165 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | LCSW-29273 |
| Business Practice Address: | 1600 John Adams Pkwy Suite 102 Idaho Falls, ID - 834014300 |
| Business Phone Number: | 2085295276 |
| Business Fax Number: | 2085296506 |
| Mailing Address: | 1600 John Adams Pkwy, Suite 102 IDAHO FALLS |
| State: | ID |
| Postal Code: | 834014300 |
| Phone Number: | 2085295276 |
| Fax Number: | 2085296506 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 09/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-29273 |
| 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 |