Harris, Jane

Harris, Jane is an individual health care provider with primary practice located at 3131 Fernbrook Ln N Suite 102, Plymouth MN 55447-5321. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Harris, Jane can be contacted via phone (612) 839-7975.

Contact Information

Primary practice address
3131 Fernbrook Ln N Suite 102 Plymouth MN 55447-5321
Phone: (612) 839-7975
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3146 Minnesota

Profile Details

NPI number 1629005277
LBN Legal business name Harris, Jane
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 10th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629005277 NPPES
Minnesota MEDICAID 664817700

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