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Jesse Tangen, LCSW Counseling, PLLC

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Company Details

Name: Jesse Tangen, LCSW Counseling, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Dec 2019 (6 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 3718669
Place of Formation: IDAHO
File Number: 692537
ZIP code: 83705
County: Ada County
Principal Address: JESSE TANGEN STE 124 410 S ORCHARD ST, BOISE, ID 83705
Mailing Address: JESSE TANGEN STE 124 410 S ORCHARD ST BOISE, ID 83705-1210

Agent

Name Role Address
Jesse L Tangen Agent 410 S ORCHARD ST, STE 124, BOISE, ID 83705

Manager

Name Role Address Appointed On
Jesse Tangen, LCSW Counseling PLLC Manager 410 S ORCHARD ST, BOISE, ID 83705 2020-12-08

National Provider Identifier

NPI Number:
1932829819
Certification Date:
2022-08-31

Authorized Person:

Name:
JESSE TANGEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006035290 2024-12-26
Annual Report 0005488564 2023-11-28
Annual Report 0004999488 2022-11-22
Annual Report 0004497568 2021-11-15
Annual Report 0004094927 2020-12-08

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State