Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin David Jensen

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1457502437

Justin David Jensen is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

714 W Main St
Grass Valley, CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1457502437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008
Mailing address714 W Main St, Grass Valley, CA 95945-6410

Other providers in Grass Valley