Individual
KARISSA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
Mailing address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
640
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640
SOUTH DAKOTA BOARD OF EXAMINERS OF PSYCHOLOGISTS
SD
Enumeration date
07/07/2022
Last updated
07/07/2022
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