Individual
JAMIE LEE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3118
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304057
MN
1041C0700X
Clinical Social Worker
18513
MN
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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