| Haven Chemical Health | |
|
950 9th Ave St Paul Park MN 55071-1436 | |
| (651) 734-9633 | |
| (651) 734-9533 |
| Full Name | Haven Chemical Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 950 9th Ave, St Paul Park, Minnesota |
| Authorized Official Name and Position | Jennifer Lynn Frazerjohn (ADMINISTRATOR) |
| Authorized Official Contact | 6517349633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Chemical Health 2042 Wooddale Dr Ste 220 Woodbury MN 55125-4421 Ph: (651) 734-9633 | Haven Chemical Health 950 9th Ave St Paul Park MN 55071-1436 Ph: (651) 734-9633 |
| NPI Number | 1205439569 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205439569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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