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General NPI Number Information
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NPI Number | 1265951388
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Entity Type | Individual
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Provider Name | NEILL J JENSON LPC, NCC, NCSC
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Gender | Male
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 6933 W EMERALD ST
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City | BOISE
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State | ID
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Zip | 83704-8616
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Country | US
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Telephone | 208-321-0634
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Fax |
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Provider Business Mailing Address
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Address Line | 6933 W EMERALD ST
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City | BOISE
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State | ID
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Zip | 83704-8616
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Country | US
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Telephone | 208-321-0634
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6584
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License Number State | ID
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