Individual
ASHLEY JOHANNA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4019 WESTERLY PL STE 102, NEWPORT BEACH, CA 92660-2333
(714) 540-9070
Mailing address
4019 WESTERLY PL STE 102, NEWPORT BEACH, CA 92660-2333
(714) 540-9070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10796
CA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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