Theresa Michel Jensen, LPN CAC III

NPI #1316105695 in Elizabeth, Colorado

Provider Information

NPI Number: 1316105695
Entity Type: Individual
Name: Theresa Michel Jensen, LPN CAC III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LPN CAC III
Enumeration Date: May 23, 2008
Last Updated: May 23, 2008

Practice Location

Address: 650 EAST WALNUT
City: Elizabeth
State: Colorado
ZIP Code: 80107
Phone: (303) 646-4519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Licensed Practical Nurse	164W00000X

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