Individual
ROSALIE C JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASUDC
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 1500, PROVO, UT 84601-4427
(801) 851-7108
(801) 851-7102
Mailing address
151 S UNIVERSITY AVE, SUITE 1500, PROVO, UT 84601-4427
(801) 851-7108
(801) 851-7102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2783986006
UT
Other
Enumeration date
12/27/2010
Last updated
04/29/2013
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