Provider Demographics
NPI:1205992823
Name:SESSIONS, JAMES KENNETH (LCPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KENNETH
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 LEXINGTON
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-4907
Mailing Address - Country:US
Mailing Address - Phone:208-535-9025
Mailing Address - Fax:208-535-9022
Practice Address - Street 1:2101 LEXINGTON
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-4907
Practice Address - Country:US
Practice Address - Phone:208-535-9025
Practice Address - Fax:208-535-9022
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-140101YM0800X
IDLCPC140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health