Individual
VANESSA K JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803607
—
OH
Enumeration date
04/11/2006
Last updated
11/11/2021
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