Jensen, Nicole F

Jensen, Nicole F is an individual health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jensen, Nicole F can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
2424 S 90Th St West Allis WI 53227-2455
Phone: (414) 773-4312
Fax: (414) 329-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3639 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3639 Wisconsin

Profile Details

NPI number 1023276417
LBN Legal business name Jensen, Nicole F
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 26th, 2024 - about 2 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 1023276417 NPPES
Wisconsin MEDICAID 43593900

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