Individual
JESSICA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4505 S WASATCH BLVD STE 360, SALT LAKE CITY, UT 84124-4203
(801) 792-9157
Mailing address
4505 S WASATCH BLVD STE 360, SALT LAKE CITY, UT 84124-4203
(801) 792-9157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11591626-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/14/2021
Last updated
04/01/2024
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