Individual
TIFFANY MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Mailing address
PO BOX 787, WILLMAR, MN 56201-0787
(320) 235-4613
(855) 625-7406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02657
MN
Other
Enumeration date
12/11/2020
Last updated
02/06/2023
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