JJST ENTERPRISES CORP. NPI 1164723334

NPI Information

JJST ENTERPRISES CORP. is a mental health counselor in Rexburg, ID. JJST ENTERPRISES CORP. NPI is 1164723334. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rexburg Counseling.

The provider's business location address is:

343 E 4TH N
SUITE 244
REXBURG, ID
ZIP 83440-002
Phone: (208) 356-0088

The provider's authorized official is Scott Kay Andersen .
The authorized official title is Owner and has the following contact phone number (208) 356-0088.

The CLIA number assigned to this NPI record is 13D0962844 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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