Jensen, Thad Michael
Jensen, Thad Michael is an individual health care provider with primary practice located at 15251 Pleasant Valley Rd , Center City MN 55012-9640. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jensen, Thad Michael can be contacted via phone (651) 213-4779.Contact Information
Primary practice address
15251 Pleasant Valley Rd
Center City MN 55012-9640
Phone: (651) 213-4779
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305429 | Minnesota |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MCAP.0100806 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH21654 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3346 | Minnesota |
Profile Details
NPI number | 1124653290 |
---|---|
LBN Legal business name | Jensen, Thad Michael |
Credentials | LADC, LPCC, LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2020 |
Last updated | Aug 2nd, 2023 - 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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