Organization
JACQUIE JENSEN, MSW, LISAC
Active
Organization
JACQUIE JENSEN, MSW, LISAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUIE BETH JENSEN MSW (THERAPIST)
(480) 221-4875
Entity
Organization
Contact information
Practice address
2319 N 51ST PL, NUMBER 2, PHOENIX, AZ 85008-2519
(480) 221-4875
Mailing address
2319 N 51ST PL, NUMBER 2, PHOENIX, AZ 85008-2519
(480) 221-4875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISAC-11489
AZ
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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