Individual provider · Type 1 NPI

Nathan Charles Jensen, LAC

Mental Health Counselor · Fayetteville, AR

NPI number 1922100882 Active

Practice location

12 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 750-2020 Map

Fax (479) 872-2441

Mailing address

PO Box 6430
Springdale, AR 72766-6430

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA0509061 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1922100882

Nathan Charles Jensen, LAC's National Provider Identifier is 1922100882, issued on Sep 2, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 9, 2007.