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JACQUELINE A JENSEN

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538758867

Individual Registrant:
 JACQUELINE A JENSEN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 AIRPORT ROAD  ILIAMNA, AK 99606 US
Tel: 907-571-1818  Fax: 907-571-1815

Contact information for business:
101 AIRPORT ROAD  ILIAMNA, AK 99606 US
Tel: 907-571-1818  Fax: 907-571-1815

Registration Information:
NPI: 1538758867
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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