Individual
ELIZABETH A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 N VERNAL AVE STE 1, VERNAL, UT 84078-2100
(435) 790-1306
(307) 782-3122
Mailing address
185 N VERNAL AVE STE 1, VERNAL, UT 84078-2100
(435) 790-1306
(307) 782-3122
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170508265
DRIVERS LICENSE
UT
Enumeration date
05/20/2021
Last updated
05/20/2021
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