Individual
MR. JOSHUA T JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
S1597 HANSON RD, WESTBY, WI 54667-8396
(608) 346-8994
Mailing address
2719 N. BUTLIN DR., BELOIT, WI 53511-2722
(608) 346-8994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2215226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
WI
Enumeration date
08/14/2014
Last updated
09/18/2014
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