Individual
CATRIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 E 5TH AVE, ROME, GA 30161
(706) 509-0130
(706) 237-6503
Mailing address
108 E 5TH AVE, SUITE B, ROME, GA 30161
(706) 509-0130
(706) 237-5603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217627A
—
GA
Enumeration date
05/14/2012
Last updated
09/08/2020
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