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Individual

MR. RICH TODD JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
1782 N 925 E, OGDEN, UT 84414-3111
(801) 791-5041
Mailing address
1782 N 925 E, OGDEN, UT 84414-3111
(801) 791-5041

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
286403-6004
UT

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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