Individual
JANITA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3299
(775) 623-5222
Mailing address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3299
(775) 623-5222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11760-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10882
STATE
NV
05
—
16939776487
—
NV
Enumeration date
10/05/2020
Last updated
10/08/2024
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