Individual
MRS. ANN MARIE W JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
3063 E HACKAMORE ST, MESA, AZ 85213-5562
(480) 962-8249
Mailing address
3063 E HACKAMORE ST, MESA, AZ 85213-5562
(480) 962-8249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1896
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
1096
AZ
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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