Individual
MS. KELLY MARIE JENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1402 ALLWOOD LN APT 203, BELCAMP, MD 21017-2636
(908) 310-4116
Mailing address
1402 ALLWOOD LN APT 203, BELCAMP, MD 21017-2636
(908) 310-4116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11856
MD
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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