Provider Demographics
NPI:1235299652
Name:HURDS, JENNIFER (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HURDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:DARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 E RIVERPARK LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6551
Mailing Address - Country:US
Mailing Address - Phone:208-489-5880
Mailing Address - Fax:208-658-9820
Practice Address - Street 1:600 E RIVERPARK LN
Practice Address - Street 2:SUITE 105
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-6551
Practice Address - Country:US
Practice Address - Phone:208-489-5880
Practice Address - Fax:208-658-9820
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-272481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical