Individual
DONALD KENNETH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 196TH ST SW, LYNNWOOD, WA 98036-7010
(425) 984-0788
Mailing address
2322 196TH ST SW, LYNNWOOD, WA 98036-7010
(425) 984-0788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61631204
WA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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