Organization
BRAIN BOX COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA JENSEN LCSW (PRESIDENT)
(813) 458-3921
Entity
Organization
Contact information
Practice address
322 W BEARSS AVE, TAMPA, FL 33613-1228
(352) 350-5552
Mailing address
2801 W BUSCH BLVD STE 200, TAMPA, FL 33618-4500
(813) 758-3921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
02/03/2022
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