Individual
ANDREW JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Mailing address
2339 248TH ST, LOMITA, CA 90717-1508
(817) 846-7874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT1518481025
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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