Individual
KIMBERLY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 W SOUTH JORDAN PKWY STE B2, SOUTH JORDAN, UT 84095-4649
(801) 821-4501
Mailing address
7174 S BREEZE HILL RD, WEST JORDAN, UT 84081-3928
(801) 824-8089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11784059-3501
UT
Other
Enumeration date
08/14/2023
Last updated
08/18/2023
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