Individual
DOUGLAS LYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1360 ENERGY PARK DR, SUITE 340, SAINT PAUL, MN 55108-5276
(651) 646-8985
(651) 646-3959
Mailing address
1360 ENERGY PARK DR, SUITE 340, SAINT PAUL, MN 55108-5276
(651) 646-8985
(651) 646-3959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01009905
PREFERRED ONE
MN
05
—
2915201-00
—
MN
01
—
42G10JE
BCBS
MN
Enumeration date
08/28/2006
Last updated
09/24/2008
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