Jensen, Katherine C

Jensen, Katherine C is an individual health care provider with primary practice located at 2400 S Kensington Dr Ste 400 , Appleton WI 54915-4187. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jensen, Katherine C can be contacted via phone (920) 358-0344.

Contact Information

Primary practice address
2400 S Kensington Dr Ste 400 Appleton WI 54915-4187
Phone: (920) 358-0344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3851-125 Wisconsin

Profile Details

NPI number 1841479664
LBN Legal business name Jensen, Katherine C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841479664 NPPES
Wisconsin MEDICAID 43713200

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