Provider Information for 1427542794
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JENNIE MICHELLE JENSEN LMFT93477
Sex: Female
NPI: 1427542794
Last Updated: 2018-06-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1427542794 | ||||||||
| Enumeration Date | 2018-06-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2825 MOUNTAIN VIEW RD HUGHSON, CA 95326-9216 United States Phone: 714-330-5402 | Fax: | ||||||||
| Primary Practice Address | 2825 MOUNTAIN VIEW RD HUGHSON, CA 95326-9216 United States Phone: 714-330-5402 | Fax: | ||||||||
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