Individual
ANDREA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(425) 522-3825
Mailing address
14241 NE WOODINVILLE DUVALL RD, WOODINVILLE, WA 98072-8564
(206) 356-8882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MC61306847
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2022
Last updated
08/24/2022
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