Individual
CASSIDY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 N ROCK RD, DERBY, KS 67037-3678
(316) 747-5072
Mailing address
106 E CREEKSTONE ST, MULVANE, KS 67110-9269
(785) 201-4666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC03919
KS
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LCPC03919
KS
Other
Enumeration date
06/15/2022
Last updated
04/01/2025
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