Individual
LOIS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CDPT
Contact information
Practice address
3507 S. SPOTTED RD., SPOKANE, WA 99206
(509) 477-1561
Mailing address
3507 S SPOTTED RD, SPOKANE, WA 99224-5728
(509) 477-1561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60697902
CDPT LICENSE
WA
Enumeration date
02/28/2018
Last updated
03/01/2018
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