Individual
DR. DALLAS JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
669 N 540 W, AMERICAN FORK, UT 84003-3137
(801) 227-4633
Mailing address
669 N 540 W, AMERICAN FORK, UT 84003-3137
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
06/12/2021
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