Individual
BENJAMIN C JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1366 PETAL WAY, SAN JOSE, CA 95129-4722
(570) 367-9785
Mailing address
1366 PETAL WAY, SAN JOSE, CA 95129-4722
(570) 367-9785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
308702-6004
UT
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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