Individual
JOSHUA S JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
8840 BLAKENEY PROFESSIONAL DR, SUITE 200, CHARLOTTE, NC 28277-6718
(704) 552-0116
(704) 552-7550
Mailing address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6056A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105251
—
NC
Enumeration date
06/17/2009
Last updated
07/06/2010
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