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NPI Code Detail

MEDICARE: JANE TENZER

MEDICARE:   JANE  TENZER
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
1101Y00000XCounselor
2101YP2500XProfessional Counselor2005038680MO

General Provider Information

NPI Number : 1174649487
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE TENZER
Provider Business Mailing Address
First Line : 1023 GREYSTONE MANOR PKWY
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-4946
Country : US
Telephone Number : 314-452-1741
Fax Number :
Provider Business Practice Location Address
First Line : 1023 GREYSTONE MANOR PKWY
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-4946
Country : US
Telephone Number : 314-452-1741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 09/25/2023

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Directions to “ JANE TENZER ” Practice Location

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