Jensen, Laura Lea

Jensen, Laura Lea is an sole proprietor health care provider with primary practice located at 9414 W Lake Mead Blvd , Las Vegas NV 89134-8312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jensen, Laura Lea can be contacted via phone (702) 498-0871.

Contact Information

Primary practice address
9414 W Lake Mead Blvd Las Vegas NV 89134-8312
Fax: (702) 445-6434
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2585 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY0851 Nevada

Profile Details

NPI number 1063637486
LBN Legal business name Jensen, Laura Lea
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated May 23rd, 2019 - about 5 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 1063637486 NPPES
Nevada Other PY0851 LICENSE NUMBER
Nevada Other 2585 LICENSE NUMBER

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