Provider Demographics
NPI:1952950842
Name:JENSEN, DANIEL PAUL (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAUL
Last Name:JENSEN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 SPRING HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1460
Mailing Address - Country:US
Mailing Address - Phone:484-889-2187
Mailing Address - Fax:
Practice Address - Street 1:565 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9364
Practice Address - Country:US
Practice Address - Phone:484-889-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional