Provider Demographics
NPI:1285014761
Name:JENSEN, JESSICA (LMHC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 COURT ST STE 2-4
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4334
Mailing Address - Country:US
Mailing Address - Phone:774-608-6829
Mailing Address - Fax:508-219-6684
Practice Address - Street 1:340 COURT ST STE 2-4
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4334
Practice Address - Country:US
Practice Address - Phone:774-608-6829
Practice Address - Fax:508-219-6684
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health