Individual
MARILEE HAWKINS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1384 W STATE RD, SUITE 24, PLEASANT GROVE, UT 84062-4130
(801) 373-6562
Mailing address
1864 N 400 W, OREM, UT 84057-2140
(801) 376-6578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6794367-6004
UT
Other
Enumeration date
01/27/2011
Last updated
10/23/2012
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