Russell, Jennifer M

Russell, Jennifer M is an sole proprietor health care provider with primary practice located at 2249 Oak Glen Dr , Stillwater MN 55082-9631. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Russell, Jennifer M can be contacted via phone (651) 492-4834.

Contact Information

Primary practice address
2249 Oak Glen Dr Stillwater MN 55082-9631
Phone: (651) 492-4834
Fax: (651) 344-1966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1359 Minnesota

Profile Details

NPI number 1134276173
LBN Legal business name Russell, Jennifer M
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 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 1134276173 NPPES
Minnesota Other 116942 HEALTHPARTNERS
Minnesota Other 78G84IN HEALTHPARTNERS
Minnesota Other 78G85RU HEALTHPARTNERS

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