Jensen, Shondalea M

Jensen, Shondalea M is an individual health care provider with primary practice located at 153 Independence Dr , Carrollton GA 30116-9000. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jensen, Shondalea M can be contacted via phone (770) 836-6678.

Contact Information

Primary practice address
153 Independence Dr Carrollton GA 30116-9000
Phone: (770) 836-6678
Fax: (770) 830-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC002685 Georgia

Profile Details

NPI number 1154691087
LBN Legal business name Jensen, Shondalea M
Credentials LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Jan 10th, 2012 - about 12 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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