| James Avenue Psychological Consultation, P.a. | |
|
3005 James Ave S Minneapolis MN 55408-2533 | |
| (612) 227-2829 | |
| (612) 377-7501 |
| Full Name | James Avenue Psychological Consultation, P.a. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3005 James Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Melissa Missy Blair (PRESIDENT) |
| Authorized Official Contact | 6122272829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Avenue Psychological Consultation, P.a. 3220 Hampshire Ave N Crystal MN 55427-2249 Ph: (612) 227-2829 | James Avenue Psychological Consultation, P.a. 3005 James Ave S Minneapolis MN 55408-2533 Ph: (612) 227-2829 |
| NPI Number | 1407924780 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407924780 | NPI | - | NPPES |
| 6173818 | Other | MN | MEDICA OR UBH |
| 141774 | Other | MN | UCARE |
| 20258-11 | Other | MN | BHP |
| 117T6NA OR 114T7NA | Other | MN | BLUE CROSS BLUE SHIELD |
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