Mr Jacob Ross Tjernlund, LMFT | |
1619 Dayton Ave Ste 309, Saint Paul, MN 55104-6276 | |
(612) 746-2975 | |
Not Available |
Full Name | Mr Jacob Ross Tjernlund |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1619 Dayton Ave Ste 309, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134943962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4496 (Minnesota) | Primary |
Entity Name | Life Development Resources Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902953169 PECOS PAC ID: 5890779847 Enrollment ID: O20040616000985 |
Mailing Address | Practice Location Address |
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Mr Jacob Ross Tjernlund, LMFT 983 Carlton Dr, Shoreview, MN 55126-8130 Ph: (651) 295-1223 | Mr Jacob Ross Tjernlund, LMFT 1619 Dayton Ave Ste 309, Saint Paul, MN 55104-6276 Ph: (612) 746-2975 |
Mrs. Melissa Lea Urbanek, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W, Ste 435 S, Saint Paul, MN 55114 Phone: 651-647-1900 Fax: 651-647-1861 | |
Erin Morgan, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 970 Raymond Ave Ste 106, Saint Paul, MN 55114 Phone: 612-208-8870 | |
Mai Bao Xiong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Sarah Lindsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1114 Grand Ave, Saint Paul, MN 55105 Phone: 612-229-9188 | |
Linnea Mccosh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977 | |
Nicole Ross, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 740 York Ave, Saint Paul, MN 55106 Phone: 651-793-7367 | |
Megan Jean Boom Shedlock, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127 Phone: 651-289-9385 Fax: 651-289-3113 |