Organization
ANTONIA JENSEN & ASSOCIATES, LLC
Active
Other names
aja Behavioral
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA GRACIA GRIMOLIZZI-JENSEN LISW-S, ACSW, MSSA (OWNER)
(419) 335-6122
Entity
Organization
Contact information
Practice address
1115-1 N SHOOP AVE, WAUSEON, OH 43567-1857
(419) 335-6122
(419) 318-4157
Mailing address
P.O. BOX 146, WAUSEON, OH 43567-0146
(419) 335-6122
(419) 318-4157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
I-7226
OH
101YM0800X
Mental Health Counselor
I-7226
OH
101YP2500X
Professional Counselor
I-7226
OH
1041C0700X
Clinical Social Worker
Primary
I-7226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371817
ANTHEM BC & BS
OH
01
—
282524354005
MEDICAL MUTUAL
OH
01
—
716572000
MAGELLAN HEALTH SERVICES
OH
Enumeration date
04/27/2006
Last updated
07/17/2023
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