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Individual
JON NATHAN JENSEN
Active
Individual
JON NATHAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
291140-6004
UT
101YM0800X
Mental Health Counselor
291140-6004
UT
Other
Enumeration date
09/29/2020
Last updated
10/05/2020
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