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Individual
MS. RANDI JEAN JENSEN
Active
Individual
MS. RANDI JEAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CB00025587
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002313
WA
101YM0800X
Mental Health Counselor
Primary
LH60153692
WA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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