Individual
DENISE MARIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Mailing address
1405 HEYBURN AVE E, TWIN FALLS, ID 83301-4856
(208) 339-1756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4914
ID
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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