# THERESA MICHEL JENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316105695
- **Gender:** F
- **Credential:** LPN CAC III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2878 | CO | Yes |
| 164W00000X | Licensed Practical Nurse | 15108 | CO | — |

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 05/23/2008