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Jessica Jensen, LPC

Counselor, Professional in D'Iberville, MS. Individual provider (NPI-1).

NPI number1962029629
StatusActive
Last updated in NPPESJun 29, 2020

Details

NPI
1962029629
Entity type
Individual (NPI-1)
Name
Jessica Jensen
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2020
Certification date
Jun 29, 2020
Last updated
Jun 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional2154MSYes

Practice location

356 Ginger Dr. #7385
D'Iberville, MS 39540-0003

Phone 228-861-4253

Mailing address

Po Box 7385
Diberville, MS 39540-0003

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