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Individual
DARCY LEE JENSEN
Active
Individual
DARCY LEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MAC, CPS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
510956
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9707960
SD
405300000X
Prevention Professional
700156
SD
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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