Individual
MS. JACQUELINE GABRIELE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2740 SE POWELL BLVD STE 6, PORTLAND, OR 97202-2069
(971) 271-4237
Mailing address
2740 SE POWELL BLVD STE 6, PORTLAND, OR 97202-2069
(971) 271-4237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8419
OR
Other
Enumeration date
10/13/2009
Last updated
08/16/2024
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