Provider Demographics
NPI:1821314394
Name:JENSEN, PAULA JUNE (MS, LMHCA)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:JUNE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MS, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17512 83RD PL. NE
Mailing Address - Street 2:APT D206
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028
Mailing Address - Country:US
Mailing Address - Phone:360-259-7608
Mailing Address - Fax:509-359-6953
Practice Address - Street 1:7981 168TH AVE NE
Practice Address - Street 2:SUITE 224
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052
Practice Address - Country:US
Practice Address - Phone:425-522-3187
Practice Address - Fax:206-329-8219
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60338125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health