Individual
SERENA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LMSW, MWS U/S
Contact information
Practice address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 607-4041
(405) 463-0090
Mailing address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 607-4041
(405) 463-0090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
21075P
OK
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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