Individual provider · Type 1 NPI

Kimberly Jensen

Addiction (Substance Use Disorder) Counselor · Menomonie, WI

NPI number 1679973150 Active

Practice location

320 21st St N
Menomonie, WI 54751-2228

Fax (715) 235-4535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15778-131 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679973150

Kimberly Jensen's National Provider Identifier is 1679973150, issued on Sep 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menomonie, WI. The record was last updated on Sep 3, 2014.