Cedarbrook Counseling Llc

LBN: Gerald E. Jensen, Jr.
Cedarbrook Counseling Llc is an health care organization with primary practice located at 6980 Fairview Rd Suite 110, Baxter MN 56425-7836. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Gerald E. Jensen, Jr. can be contacted via phone (218) 822-3736, or through Jensen, Jerry E. via phone (218) 822-3736.

Contact Information

Primary practice address
6980 Fairview Rd Suite 110 Baxter MN 56425-7836
Phone: (218) 822-3736
Fax: (218) 822-3761
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Jerry E. MA, LP
Phone: (218) 822-3736

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 4642 Minnesota

Profile Details

NPI number 1871596585
LBN Legal business name Gerald E. Jensen, Jr.
DBA Doing business as Cedarbrook Counseling Llc
Authorized official Jensen, Jerry E. MA, LP
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Feb 10th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871596585 NPPES
Minnesota MEDICAID 555519100

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