| Cmaj, Inc | |
|
3820 Cleveland Ave N Ste 400 Arden Hills MN 55112 | |
| (651) 389-4406 | |
| (651) 389-4410 |
| Full Name | Cmaj, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3820 Cleveland Ave N Ste 400, Arden Hills, Minnesota |
| Authorized Official Name and Position | Christine Anderson Jacob (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 6514858173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmaj, Inc 3820 Cleveland Ave N Ste 400 Arden Hills MN 55112-3297 Ph: (651) 389-4406 | Cmaj, Inc 3820 Cleveland Ave N Ste 400 Arden Hills MN 55112 Ph: (651) 389-4406 |
| NPI Number | 1083088462 |
|---|---|
| Provider Enumeration Date | 11/22/2015 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 0345508792 |
|---|---|
| Medicare Enrollment ID | O20171213001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083088462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 4727 (Minnesota) | Primary |
| Provider Name | Christine M Anderson-jacob |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184828204 PECOS PAC ID: 8224189089 Enrollment ID: I20090708000111 |
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