NATHAN CHARLES JENSEN LAC NPI 1922100882

NPI Information

NPI: 1922100882
Provider Name: NATHAN CHARLES JENSEN, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 750-2020
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Nathan Charles Jensen, LAC is a mental health counselor in Fayetteville, AR. Nathan Charles Jensen, LAC NPI is 1922100882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703-822
Phone: (479) 750-2020
Fax: (479) 872-2441

The enumeration date for this NPI number is 9/2/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A0509061	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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