| Krista Jorgenson Llc | |
|
708 N 1st St Ste 242 Minneapolis MN 55401-1145 | |
| (507) 208-3504 | |
| Not Available |
| Full Name | Krista Jorgenson Llc |
|---|---|
| Speciality | Counselor - Professional |
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Jorgenson Llc 708 N 1st St Ste 242 Minneapolis MN 55401-1145 Ph: (507) 208-3504 | Krista Jorgenson Llc 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 | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124500855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 01625 (Minnesota) | Primary |
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