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Individual

CAMILLE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LADC

Contact information

Practice address
1250 MOORE LAKE DR E STE 205C, FRIDLEY, MN 55432-5176
(763) 244-6516
Mailing address
2589 HAMLINE AVE N, ROSEVILLE, MN 55113-3184

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03175
MN

Other

Enumeration date
02/11/2022
Last updated
10/03/2025
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