Individual
EVIE MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, AAC
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(253) 545-5339
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-2600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61501202
WA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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