Individual provider · Type 1 NPI
Kyle Jensen, M.ED, LADCI
Addiction (Substance Use Disorder) Counselor · Cummington, MA
NPI number
1114821279
Active
Practice location
21 Dodwells Rd
Cummington, MA 01026-9705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19161 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1114821279
Kyle Jensen, M.ED, LADCI's National Provider Identifier is 1114821279, issued on Oct 5, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cummington, MA. The record was last updated on Oct 5, 2026.