Tiffany Marie Jensen, LADC, LPCC | |
1125 6th St Se, Willmar, MN 56201-4675 | |
(320) 235-4613 | |
(855) 625-7406 |
Full Name | Tiffany Marie Jensen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1125 6th St Se, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316543515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC02657 (Minnesota) | Primary |
Entity Name | Woodland Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Marie Jensen, LADC, LPCC Po Box 787, Willmar, MN 56201-0787 Ph: (320) 235-4613 | Tiffany Marie Jensen, LADC, LPCC 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613 |
Ms. Cheryl Lee Walter, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 3rd St Sw, Willmar, MN 56201 Phone: 320-231-9763 | |
Michelle Beeman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 4th St Sw, Willmar, MN 56201 Phone: 320-214-8558 Fax: 320-235-2733 | |
Jaime L Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2160 60th Ave Ne, Willmar, MN 56201 Phone: 507-299-0436 | |
Lindsey Maria Borresen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Highway 12 E Ste 2, Willmar, MN 56201 Phone: 320-214-9692 | |
Misty Nelson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 7th St Nw, Willmar, MN 56201 Phone: 320-214-7744 | |
Jessica Lee Bakken, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 60th Ave Ne, Willmar, MN 56201 Phone: 320-905-4345 | |
Carmelita Regina Privatt, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 855-625-7406 |