Individual
EMILY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE, CHICAGO, IL 60602-3402
(925) 360-3013
Mailing address
1510 ARROW WOOD LN, DOWNERS GROVE, IL 60515-1336
(925) 360-3013
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 5072
CA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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