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NPI Code Detail

MEDICARE: SONYA JENSEN MA, LMFT

MEDICARE: SONYA JENSEN MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist80521CA

General Provider Information

NPI Number : 1053727230
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA JENSEN MA, LMFT
Provider Business Mailing Address
First Line : 601 QUAIL VALLEY DR STE 106
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-8051
Country : US
Telephone Number : 737-400-9036
Fax Number :
Provider Business Practice Location Address
First Line : 601 QUAIL VALLEY DR STE 106
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-8051
Country : US
Telephone Number : 737-400-9036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 01/18/2019

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Directions to “ SONYA JENSEN MA, LMFT” Practice Location

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