Individual
CHRIS A. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AOD COUNSELOR
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6850
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6850
(209) 385-3174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERT. 02-012515
CA
Other
Enumeration date
02/28/2007
Last updated
05/11/2018
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