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Mr. Brad Lance Jensen, CDP
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1972060978

Brad Lance Jensen is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Brad Lance Jensen practices in Chehalis, WA and has the professional credentials of CDP. The NPI Number for Brad Lance Jensen is 1972060978 and holds a License No. CP60185873 (Washington).

The current practice location address for Brad Lance Jensen is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-748-4776.

Location: 500 Se Washington Ave, Chehalis, WA, 98532-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972060978
Provider Name
Brad Lance Jensen
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
500 Se Washington Ave, Chehalis, WA, 98532-3058
Phone Number
360-748-4776
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60185873 (Washington)
Definition
Definition to come...
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