Individual
KRYSTA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COHASSET LN, CRANSTON, RI 02921-1364
(207) 616-1127
(401) 414-0706
Mailing address
25 COHASSET LN, CRANSTON, RI 02921-1364
(401) 787-0217
(401) 414-0706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02025
RI
Other
Enumeration date
09/25/2019
Last updated
05/14/2026
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