Individual
JACKLYN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 STEWART ST, RENO, NV 89501-2235
(775) 276-6575
Mailing address
219 CERCLE DE LA CERESE, SPARKS, NV 89434-9572
(775) 200-3256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/12/2015
Last updated
07/26/2016
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