Individual provider · Type 1 NPI

Leslie Jensen

Mental Health Counselor · Ogden, UT

NPI number 1114394764 Active

Practice location

1525 Lincoln Ave
Ogden, UT 84404-5638

Mailing address

1257 E Shadow Ridge Dr Apt 11J
Midvale, UT 84047-4255

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114394764

Leslie Jensen's National Provider Identifier is 1114394764, issued on Aug 31, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ogden, UT. The record was last updated on Aug 31, 2015.