Blaser, Jade Matraca
Blaser, Jade Matraca is an sole proprietor health care provider with primary practice located at 1230 School St Nw , Elk River MN 55330-2422. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blaser, Jade Matraca can be contacted via phone (763) 241-3558.Contact Information
Primary practice address
1230 School St Nw
Elk River MN 55330-2422
Phone: (763) 241-3558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303984 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 28295 | Minnesota |
Profile Details
| NPI number | 1316574866 |
|---|---|
| LBN Legal business name | Blaser, Jade Matraca |
| Credentials | MSW, LADC, LGSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2020 |
| Last updated | Mar 25th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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