Individual provider · Type 1 NPI

David Jensen, CDPT

Addiction (Substance Use Disorder) Counselor · Shelton, WA

NPI number 1760920664 Active

Practice location

235 S 3rd St
Shelton, WA 98584-2255

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60721954 (WA)

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

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About NPI 1760920664

David Jensen, CDPT's National Provider Identifier is 1760920664, issued on Feb 10, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelton, WA. The record was last updated on Feb 10, 2017.