Individual
LEA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS IN LEADERSHIP
Contact information
Practice address
3923 N PENN AVE, OKLAHOMA CITY, OK 73112-7566
(405) 424-0007
(405) 605-0599
Mailing address
424 NW 29TH ST, OKLAHOMA CITY, OK 73103-1004
(405) 503-6529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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