Individual
CARL A. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
707 GUM ROCK CT, NEWPORT NEWS, VA 23606-2523
(757) 873-2273
(757) 873-9422
Mailing address
707 GUM ROCK CT, NEWPORT NEWS, VA 23606-2523
(757) 873-2273
(757) 873-9422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001064
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2420
AM ASSOC OF PASTORAL COUS
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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