Individual
KARA LYNNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1283 DEER VALLEY DR, PARK CITY, UT 84060-5104
(435) 250-3510
Mailing address
PO BOX 683480, PARK CITY, UT 84068-3480
(435) 250-3510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6158205-6004
UT
Other
Enumeration date
06/05/2007
Last updated
11/04/2010
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