Myra Jensen

NPI #1013252485 in Sparta, North Carolina

Provider Information

NPI Number: 1013252485
Entity Type: Individual
Name: Myra Jensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 11, 2012
Last Updated: Dec 11, 2012

Practice Location

Address: 1650 HIGHWAY 18 SOUTH
City: Sparta
State: North Carolina
ZIP Code: 28675-8478
Phone: (336) 372-4095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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