Individual provider · Type 1 NPI

Cassidy Jensen

Professional Counselor · Derby, KS

NPI number 1780314237 Active

Practice location

1221 N Rock Rd
Derby, KS 67037-3678

Call (316) 747-5072 Map

Mailing address

106 E Creekstone St
Mulvane, KS 67110-9269

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800XLCPC03919 (KS)
Professional Counselor Primary 101YP2500XLCPC03919 (KS)

Professional Counselor: Definition to come...

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About NPI 1780314237

Cassidy Jensen's National Provider Identifier is 1780314237, issued on Jun 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Derby, KS. The record was last updated on Apr 1, 2025.