Individual provider · Type 1 NPI

Brad Lance Jensen, CDP

Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI number 1972060978 Active

Practice location

500 SE Washington Ave
Chehalis, WA 98532-3058

Call (360) 748-4776 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60185873 (WA)

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

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About NPI 1972060978

Brad Lance Jensen, CDP's National Provider Identifier is 1972060978, issued on Feb 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chehalis, WA. The record was last updated on Feb 26, 2019.