Jessica Tanner, LCSW Valid NPI

Individual provider · Clinical Social Worker · Rexburg, ID

NPI

1548509920

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-32588 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2013-02-05

Last updated

2025-05-15