Individual
ERIK JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1920 W VILLA MARIA RD STE 304A, BRYAN, TX 77807-4864
(979) 492-2782
Mailing address
2616 WESTWOOD MAIN DR, BRYAN, TX 77807-2609
(979) 492-2782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76166
TX
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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