Individual
RYAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IADC, CCDP
Contact information
Practice address
22 STONEYBROOK CIR SW, SPENCER, IA 51301-5806
(712) 363-3670
Mailing address
22 STONEYBROOK CIR SW, SPENCER, IA 51301-5806
(712) 363-3670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
01/11/2026
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