Individual
DR. LAURA LEA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 498-0871
(702) 445-6434
Mailing address
9213 LAS MANAITAS AVE UNIT 401, LAS VEGAS, NV 89144-6631
(702) 498-0871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0851
NV
103TC1900X
Counseling Psychologist
2585
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2585
LICENSE NUMBER
CO
01
—
PY0851
LICENSE NUMBER
NV
Enumeration date
04/13/2007
Last updated
05/23/2019
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