Individual
TINA LORENE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BHT
Contact information
Practice address
40 E MITCHELL DR, SUITE 100 & 200, PHOENIX, AZ 85012-2330
(602) 599-5431
(605) 599-5666
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2647
(602) 599-5404
(602) 599-5711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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