Individual
MR. DAVID W JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6436 S 5180 W, WEST JORDAN, UT 84081-3812
(801) 916-0701
Mailing address
6436 S 5180 W, WEST JORDAN, UT 84081-3812
(801) 916-0701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5714096-6004
UT
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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