Davina Gjennestad

NPI 1902396153 · on the registry since 2018 · sole proprietor

Practice

Address: 264 Main Ave S
Twin Falls, ID 83301
Phone: (208) 734-0407
Organisation at this address: Pro Active Advantage, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Additional practice sites

2223 Overland Ave, Burley, ID
570 Shoup Ave W, Twin Falls, ID
264 Main Ave E., Twin Falls, ID
215 University Ave E, Gooding, ID

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho