Jensen, Jacquelyn Beth

Jensen, Jacquelyn Beth is an sole proprietor health care provider with primary practice located at 41 W Encanto Blvd Apt 4 , Phoenix AZ 85003-1132. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jensen, Jacquelyn Beth can be contacted via phone (602) 573-1661.

Contact Information

Primary practice address
41 W Encanto Blvd Apt 4 Phoenix AZ 85003-1132
Phone: (602) 573-1661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1205232352
LBN Legal business name Jensen, Jacquelyn Beth
Credentials MSW, LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2014
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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