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Individual

COLLEEN JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1007 RR 620 S STE 202, LAKEWAY, TX 78734-5635
(909) 286-3777
Mailing address
1623 SUNDOWN DR, AUSTIN, TX 78738-5332
(909) 286-3777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75435
TX

Other

Enumeration date
05/08/2019
Last updated
05/08/2019
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