Clemensen, Eric Thomas

Clemensen, Eric Thomas is an individual health care provider with primary practice located at 1609 Jackson St , Saint Paul MN 55117-3917. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clemensen, Eric Thomas can be contacted via phone (612) 326-7614.

Contact Information

Primary practice address
1609 Jackson St Saint Paul MN 55117-3917
Phone: (612) 326-7614
Fax: (651) 488-5658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303592 Minnesota

Profile Details

NPI number 1366708109
LBN Legal business name Clemensen, Eric Thomas
Credentials BS, LADC, BCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Jul 10th, 2014 - about 12 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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