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Individual

AMY LYDIA JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,CSAC,NCC

Contact information

Practice address
15941 DONALD CURTIS DR STE 200, WOODBRIDGE, VA 22191-4257
(703) 792-4900
(703) 792-5699
Mailing address
15629 NEATH DR, WOODBRIDGE, VA 22193-1042
(703) 282-6026

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006896
VA

Other

Enumeration date
07/19/2019
Last updated
02/12/2024
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