Keith Thomas Jenson

NPI #1992030480 in Centerville, Utah

Provider Information

NPI Number: 1992030480
Entity Type: Individual
Name: Keith Thomas Jenson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 16, 2009
Last Updated: Oct 16, 2009

Practice Location

Address: 94 E PAGES LN
Address 2: #A
City: Centerville
State: Utah
ZIP Code: 84014-2216
Phone: (801) 294-0578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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