Individual
SOPHIA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
128 S 5TH ST W, MISSOULA, MT 59801-2714
(541) 261-9772
Mailing address
413 OAK ST, MISSOULA, MT 59801-2323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-50035
MT
Other
Enumeration date
10/22/2021
Last updated
10/31/2023
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