Individual
MS. AUDREY A JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2567 13TH AVE W APT 2, SEATTLE, WA 98119-2118
(810) 569-5776
Mailing address
2567 13TH AVE W APT 2, SEATTLE, WA 98119-2118
(810) 569-5776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61132731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407336506
—
NC
Enumeration date
08/17/2018
Last updated
07/07/2021
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