Jacqueline A Jensen Valid NPI
Individual provider · Counselor · Iliamna, AK
- NPI
- 1538758867
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-12
Practice location
101 Airport Road
Iliamna, AK 99606
(907) 571-1818