Individual
ANNA LISA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
301 SOVEREIGN CT, SUITE 211, BALLWIN, MO 63011-4441
(314) 422-9924
Mailing address
301 SOVEREIGN CT, SUITE 211, BALLWIN, MO 63011-4441
(314) 422-9924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009000728
MO
Other
Enumeration date
02/17/2009
Last updated
05/04/2015
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