DAVID JENSEN

SHELTON, WA
NPI1760920664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60721954)
Enumeration Date2017-02-10
Last Update Date2017-02-10
Business Address
-- DAVID JENSEN cdpt
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
Mailing Address
-- DAVID JENSEN cdpt
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number:
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