Individual
SARA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LLMFT
Contact information
Practice address
65 S MAIN ST, ROCKFORD, MI 49341-1286
(616) 805-3660
Mailing address
121 S BOWER ST, GREENVILLE, MI 48838-1501
(989) 289-0693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4101006858
MI
101YP2500X
Professional Counselor
6401017278
MI
101YP2500X
Professional Counselor
Primary
6401019616
MI
Other
Enumeration date
05/03/2019
Last updated
08/11/2021
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