Individual
LELAND ROYAL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADC-T
Contact information
Practice address
2532 N FERRY ST, ANOKA, MN 55303-1653
(763) 452-7033
(763) 427-6084
Mailing address
2532 N FERRY ST, ANOKA, MN 55303-1653
(763) 452-7033
(612) 823-4913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3074
MN
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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