Individual
JOHN VICTOR JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
5411 RAMSEY ST, FAYETTEVILLE, NC 28311-1424
(910) 688-3534
Mailing address
405 SWAN ISLAND CT, FAYETTEVILLE, NC 28311-8947
(910) 229-5253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17811
NC
Other
Enumeration date
12/13/2022
Last updated
03/28/2024
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