Jensen, Rebecca
Jensen, Rebecca is an individual health care provider with primary practice located at 2120 S Mcclintock Dr Suite 105, Tempe AZ 85282-2692. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jensen, Rebecca can be contacted via phone (480) 804-0326.Contact Information
Primary practice address
2120 S Mcclintock Dr Suite 105
Tempe AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-14617 | Arizona |
Profile Details
| NPI number | 1699218008 |
|---|---|
| LBN Legal business name | Jensen, Rebecca |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2016 |
| Last updated | Nov 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699218008 | NPPES |
| Arizona | MEDICAID | 226871 |
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