MR. Brad Lance Jensen, CDP

NPI #1972060978 in Chehalis, Washington

Provider Information

NPI Number
1972060978
Entity Type
Individual
Name
MR. Brad Lance Jensen, CDP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDP
Enumeration Date
Feb 26, 2019
Last Updated
Feb 26, 2019

Practice Location

Address
500 SE WASHINGTON AVE
ZIP Code
98532-3058
Phone
(360) 748-4776

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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