IndividualActive
Brad Jensen, CDP
NPI 1972060978 · Addiction (Substance Use Disorder) Counselor · Chehalis, WA
Provider details
- NPI number
- 1972060978
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDP
- Sex
- Male
- Sole proprietor
- Yes
- License
- CP60185873 (WA)
Mailing address
500 Se Washington Ave
Chehalis, WA 98532-3058
Registry dates
- Enumerated
- 2019-02-26
- Last updated
- 2019-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.