| Doctor Name: | MRS. KATHRYN ANNE JENSEN |
| NPI Number: | 1417249244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 178.008599 |
| Business Practice Address: | 8020 W 87th St Hickory Hills, IL - 604571189 |
| Business Phone Number: | 7089953867 |
| Business Fax Number: | 7087454501 |
| Mailing Address: | 8020 W 87th St, HICKORY HILLS |
| State: | IL |
| Postal Code: | 604571189 |
| Phone Number: | 7089953867 |
| Fax Number: | 7087454501 |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 04/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 178.008599 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |