NPI 1023414737
Tina Lorene Jensen, BSBHT
Practice location
- Address
- 40 E Mitchell Dr Suite 100 & 200, Phoenix, AZ 85012-2330
- Phone
- (602) 599-5431
- Fax
- (605) 599-5666
- Mailing address
- 202 E Earll Dr Suite 200, Phoenix, AZ 85012-2647
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023414737
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Nov 2014
- Record last updated
- 6 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.