Provider Demographics
NPI:1619779626
Name:JENSEN, ALLISON (LPCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 SHEPPARD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2539
Mailing Address - Country:US
Mailing Address - Phone:507-484-2404
Mailing Address - Fax:507-934-2594
Practice Address - Street 1:1715 SHEPPARD DR
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2539
Practice Address - Country:US
Practice Address - Phone:507-484-2400
Practice Address - Fax:507-954-2594
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC03193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health