Doctor Name: | WHITNEY JENSEN |
NPI Number: | 1215333794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLBSW |
License Number: | 6802088306 |
Business Practice Address: | 1270 Doris Rd Auburn Hills, MI - 483262617 |
Business Phone Number: | 2482768023 |
Business Fax Number: | |
Mailing Address: | 1270 Doris Rd, AUBURN HILLS |
State: | MI |
Postal Code: | 483262617 |
Phone Number: | 2482768023 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2014 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6802088306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |