Individual
LAUREN R JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 TOWN CRIER DR, BRATTLEBORO, VT 05301-8669
(802) 258-4623
Mailing address
42 CUSHING LOT RD, VERNON, VT 05354-4404
(302) 222-5136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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