DAVINA GJENNESTAD - NPI 1902396153 - Counselor in Twin Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Davina Gjennestad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVINA GJENNESTAD (NPI 1902396153) is an individual professional provider in Twin Falls, Idaho, licensed in Idaho (LPC-6907) and active in the NPI registry since May 2018. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902396153

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDAVINA GJENNESTAD

Location Address264 MAIN AVE STwin Falls, ID 83301-6232

Mailing Address357 Blue Lakes Blvd N Apt 1Twin Falls, ID 83301-4876 · (334) 750-7785

Phone(208) 734-0407

Sole ProprietorYes

Enumeration DateMay 14, 2018

✔ NPI 1902396153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-6907

264 MAIN AVE S, Twin Falls, ID 83301

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Secondary Practice Locations 4

Location 1264 Main Ave E.Twin Falls, ID 83301 · Phone (208) 734-0407

Location 2570 Shoup Ave WTwin Falls, ID 83301-5029 · Phone (208) 772-7825

Location 32223 Overland AveBurley, ID 83318-2929 · Phone (208) 878-3423

Location 4215 University Ave EGooding, ID 83330-6155 · Phone (208) 934-5876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA MARLENE BAYES

Counselor (Mental Health)