Individual provider · Type 1 NPI

Lillian Elaine Jensen, MFTI, PCCI

Professional Counselor · San Luis Obispo, CA

NPI number 1902318264 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Mailing address

1523 Longbranch Ave
Grover Beach, CA 93433-2508

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11587 (CA)

Professional Counselor: Definition to come...

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About NPI 1902318264

Lillian Elaine Jensen, MFTI, PCCI's National Provider Identifier is 1902318264, issued on Oct 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 26, 2022.