Provider Information for 1699173906
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JENNIFER L HENSLEY MA, LPC, LMHC
Sex: Female
NPI: 1699173906
Last Updated: 2024-05-17
Certification Date: 2022-08-12
Certification Date: 2022-08-12
Details
Name | Value | ||||||||
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NPI | 1699173906 | ||||||||
Enumeration Date | 2014-12-18 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 1606 GIRDWOOD, AK 99587-1606 United States Phone: 907-203-7295 | Fax: | ||||||||
Primary Practice Address | 196 CRYSTAL MOUNTAIN RD GIRDWOOD, AK 99587 United States Phone: 907-203-7295 | Fax: | ||||||||
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