| Jorja Jamison Counseling And Consulting Llc | |
|
1068 Lake St S Ste 109 Forest Lake MN 55025-2633 | |
| (651) 982-4792 | |
| Not Available |
| Full Name | Jorja Jamison Counseling And Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1068 Lake St S Ste 109, Forest Lake, Minnesota |
| Authorized Official Name and Position | Jorja Jamison (OWNER) |
| Authorized Official Contact | 9524542396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorja Jamison Counseling And Consulting Llc 5100 6th St Ne Apt 33 Columbia Heights MN 55421-1669 Ph: (952) 454-2396 | Jorja Jamison Counseling And Consulting Llc 1068 Lake St S Ste 109 Forest Lake MN 55025-2633 Ph: (651) 982-4792 |
| NPI Number | 1821568890 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 5092059097 |
|---|---|
| Medicare Enrollment ID | O20181203000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821568890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jorja Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932437126 PECOS PAC ID: 0749505360 Enrollment ID: I20181212002789 |
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