Organization
HIDDEN SPRINGS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN ALAN JENSEN MSE LPC (OWNER DIRECTOR)
(608) 634-2574
Entity
Organization
Contact information
Practice address
S1597 HANSON RD, WESTBY, WI 54667-8396
(608) 634-2574
(608) 634-6918
Mailing address
S1597 HANSON RD, WESTBY, WI 54667-8396
(608) 634-2574
(608) 634-6918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2565
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43586200
—
WI
Enumeration date
04/18/2007
Last updated
11/11/2008
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