Individual
MS. JACQUELYN BETH JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISAC
Contact information
Practice address
41 W ENCANTO BLVD APT 4, PHOENIX, AZ 85003-1132
(602) 573-1661
Mailing address
41 W ENCANTO BLVD APT 4, PHOENIX, AZ 85003-1132
(602) 573-1661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
09/13/2019
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