Individual provider · Type 1 NPI

Thad Michael Jensen, LADC, LPCC, LMHC

Mental Health Counselor · Center City, MN

NPI number 1124653290 Active

Practice location

15251 Pleasant Valley Rd
Center City, MN 55012-9640

Mailing address

463 Palm Tree Dr
Bradenton, FL 34210-3063

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X305429 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400XMCAP.0100806 (FL)
Mental Health Counselor 101YM0800XMH21654 (FL)
Mental Health Counselor Primary 101YM0800X3346 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1124653290

Thad Michael Jensen, LADC, LPCC, LMHC's National Provider Identifier is 1124653290, issued on Mar 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Center City, MN. The record was last updated on Aug 2, 2023.