Doctor Name: | LEVI AMMON JENSEN |
NPI Number: | 1124339270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPCI |
License Number: | 7390844-6009 |
Business Practice Address: | 757 S Main St Springville, UT - 846632452 |
Business Phone Number: | 8014912270 |
Business Fax Number: | |
Mailing Address: | 757 S Main St, SPRINGVILLE |
State: | UT |
Postal Code: | 846632452 |
Phone Number: | 8014912270 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7390844-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |