| Numa Psychotherapy Pllc | |
|
708 N 1st St Ste 242 Minneapolis MN 55401-1145 | |
| (507) 208-3504 | |
| Not Available |
| Full Name | Numa Psychotherapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 708 N 1st St Ste 242, Minneapolis, Minnesota |
| Authorized Official Name and Position | Krista Marie Jorgenson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5072083504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Numa Psychotherapy Pllc 708 N 1st St Ste 242 Minneapolis MN 55401-1145 Ph: (507) 208-3504 | Numa Psychotherapy Pllc 708 N 1st St Ste 242 Minneapolis MN 55401-1145 Ph: (507) 208-3504 |
| NPI Number | 1124500855 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 2860927514 |
|---|---|
| Medicare Enrollment ID | O20241119001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124500855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 01625 (Minnesota) | Primary |
| Provider Name | Krista Marie Jorgenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114445210 PECOS PAC ID: 4688109333 Enrollment ID: I20241119001269 |
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