| Pivotal Process Llc | |
|
18297 Dunbury Ave Farmington MN 55024-7242 | |
| (952) 999-3196 | |
| Not Available |
| Full Name | Pivotal Process Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18297 Dunbury Ave, Farmington, Minnesota |
| Authorized Official Name and Position | Kelsey Jezierski (OWNER/CLINICAL COUNSELOR) |
| Authorized Official Contact | 9529993196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Process Llc Po Box 213 Farmington MN 55024 Ph: (952) 999-3196 | Pivotal Process Llc 18297 Dunbury Ave Farmington MN 55024-7242 Ph: (952) 999-3196 |
| NPI Number | 1598491151 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598491151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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