SHANE JENSEN

MINNEAPOLIS, MN
NPI1053966069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304481)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
SHANE JENSEN
610 22ND AVE S
MINNEAPOLIS, MN 55454-1315
Phone number: 612-330-1170
Mailing Address
SHANE JENSEN
610 22ND AVE S
MINNEAPOLIS, MN 55454-1315
Phone number:
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