Most Relevant Information
Provider Data
| NPI Number: | 1003436148 |
| Provider Name: | DESIREE JENKS-ASAY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC-6675 |
Most Important Dates
| Enumeration Date: | 04/18/2020 |
| Last Updated: | 04/18/2020 |
Provider Practice Location
615 HOOPES AVE
IDAHO FALLS
ID
834016106
Practice Location Phone/Fax
| Phone: | 2085420352 |
| Fax: |
Provider Mailing Location
1010 AUSTIN AVE
IDAHO FALLS
ID
834045568
Provider Mailing Phone/Fax
| Phone: | 5309028989 |
| Fax: |