Individual
JANET G JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAODC
Contact information
Practice address
14112 S KINGSLEY DR, GARDENA, CA 90249-3018
(310) 217-7312
Mailing address
14112 S KINGSLEY DR, GARDENA, CA 90249-3018
(310) 217-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6214
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
05/08/2025
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