Individual
KATHERINE C JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2400 S KENSINGTON DR STE 400, APPLETON, WI 54915-4187
(920) 358-0344
Mailing address
2400 S KENSINGTON DR STE 400, APPLETON, WI 54915-4187
(920) 358-0344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3851-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43713200
—
WI
Enumeration date
10/29/2007
Last updated
10/06/2022
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