Doctor Name: | KAREN REBECCA JENSEN |
NPI Number: | 1275568685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED LPC |
License Number: | 16674 |
Business Practice Address: | 3250 Medical Center Drive Beaumont, TX - 77720 |
Business Phone Number: | 4098131765 |
Business Fax Number: | 4098131875 |
Mailing Address: | Po Box 118, SPURGER |
State: | TX |
Postal Code: | 77660 |
Phone Number: | 4098131765 |
Fax Number: | 4098131875 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 16674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |