| NPI | 1982976940 |
|---|---|
| Other Name | BILL J JENSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-CRM-035) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2022-07-11 |