Individual
JESSICA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
356 GINGER DR. #7385, D'IBERVILLE, MS 39540-0003
(228) 861-4253
Mailing address
PO BOX 7385, DIBERVILLE, MS 39540-0003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2154
MS
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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