Individual
CHANCELLOR JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7220 W JEFFERSON AVE STE 100, LAKEWOOD, CO 80235-2015
(303) 225-7673
Mailing address
760 ISABELL ST, GOLDEN, CO 80401-4026
(303) 968-8327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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