Individual
BETTY ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
200 SE HAILEY AVE, PENDLETON, OR 97801-3073
(541) 962-0162
(541) 962-0119
Mailing address
1101 I AVE, LA GRANDE, OR 97850-2043
(541) 962-0162
(541) 962-0119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-06-96
OR
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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