| Organization Name: | ANTONIA JENSEN & ASSOCIATES, LLC |
| NPI Number: | 1093772733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTONIA G. GRIMOLIZZI-JENSEN (OWNER) |
| Mailing Address: | 1150 N Ottokee St Wauseon |
| State: | OH US |
| Postal Code: | 435671912 |
| Phone Number: | 4193356122 |
| Fax Number: | 4193184157 |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 03/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | I-7226 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |