Jensen, Lori Denise

Jensen, Lori Denise is an individual health care provider with primary practice located at 620 S Jeffers St , North Platte NE 69101-5351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jensen, Lori Denise can be contacted via phone (308) 532-9111.

Contact Information

Primary practice address
620 S Jeffers St North Platte NE 69101-5351
Phone: (308) 532-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3006 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1191 Nebraska

Profile Details

NPI number 1609811389
LBN Legal business name Jensen, Lori Denise
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609811389 NPPES
Nebraska MEDICAID 10025054200

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