Individual provider · Type 1 NPI

Russell Vance Jensen, MA, EDM, LMFT

Marriage & Family Therapist · Fresno, CA

NPI number 1750619110 Active

Practice location

2080 N Winery Ave Ste 101
Fresno, CA 93703-4817

Call (559) 640-7077 Map

Mailing address

PO Box 546
Sanger, CA 93657-0546

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	LMFT 88760 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1750619110

Russell Vance Jensen, MA, EDM, LMFT's National Provider Identifier is 1750619110, issued on Nov 24, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fresno, CA. The record was last updated on Aug 3, 2016.