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1124698899
NICOLE ANN JENSEN
PORTLAND, OR
NPI
1124698899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-05-18)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
NICOLE ANN JENSEN CADC
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 503-477-8495
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Mailing Address
NICOLE ANN JENSEN CADC
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 503-477-8495
Copy
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