Jayasekera, Chad Michael
Jayasekera, Chad Michael is an individual health care provider with primary practice located at 1645 106Th Ln Nw , Coon Rapids MN 55433-4278. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jayasekera, Chad Michael can be contacted via phone (651) 210-5370.Contact Information
Primary practice address
1645 106Th Ln Nw
Coon Rapids MN 55433-4278
Phone: (651) 210-5370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2132 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24240 | Minnesota |
Profile Details
| NPI number | 1265701775 |
|---|---|
| LBN Legal business name | Jayasekera, Chad Michael |
| Credentials | MA, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2011 |
| Last updated | May 1st, 2024 - about 2 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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