Individual
SHONDALEA M JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
153 INDEPENDENCE DR, CARROLLTON, GA 30116-9000
(770) 836-6678
(770) 830-2266
Mailing address
153 INDEPENDENCE DR, CARROLLTON, GA 30116-9000
(770) 836-6678
(770) 830-2266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC002685
GA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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