Individual provider · Type 1 NPI
Shane Jensen
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1053966069
Active
Practice location
610 22nd Ave S
Minneapolis, MN 55454-1315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304481 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053966069
Shane Jensen's National Provider Identifier is 1053966069, issued on Aug 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 6, 2019.