Individual provider · Type 1 NPI
Darcy Lee Jensen, LAC, MAC, CPS
Addiction (Substance Use Disorder) Counselor · Souix Falls, SD
NPI number
1558864124
Active
Practice location
822 East 41st. Street, Suite 235
Souix Falls, SD 57105
Fax (605) 331-5725
Mailing address
822 East 41st Street, Suite 235
Souix Falls, SD 57105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 510956 (SD) |
| Prevention Professional | 405300000X | 700156 (SD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9707960 (SD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1558864124
Darcy Lee Jensen, LAC, MAC, CPS's National Provider Identifier is 1558864124, issued on Mar 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Souix Falls, SD. The record was last updated on Mar 9, 2018.