Individual
JUSTIN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(435) 723-1799
Mailing address
862 S. MAIN STREET # 4, BRIGHAM CITY, UT 84302
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
09/10/2010
Last updated
11/20/2023
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