National Provider Identifier Database

JUSTIN D JENSEN
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

JUSTIN D JENSEN
82 S 800 W
BRIGHAM CITY, UT84302-2400
Phone: 435-538-5061
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for JUSTIN D JENSEN

NPI Number 1407158835
Credentials
Entity Individual
Enumeration date 11/17/2010
Last updated 02/16/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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