Jackie Sue Niemand in Stillwater - Counseling

Jackie Sue Niemand - NPI 1417958893

Jackie Sue Niemand is a Counseling in Stillwater, Minnesota. Jackie Sue Niemand practices all healthcare services and medical treatments related to Counseling. The NPI Number for Jackie Sue Niemand is 1417958893. The last update date is 2021-02-10.

Jackie Sue Niemand's current location address is 6381 Osgood Ave N Ste 8, Stillwater, Minnesota. You can contact this provider via phone number 6512759680 and fax number 6514309296. The mailing address for Jackie Sue Niemand is 6381 Osgood Ave N Ste 8, Stillwater, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie Sue Niemand
Address 6381 Osgood Ave N Ste 8, Stillwater, Minnesota
Phone Number 6512759680
Fax Number 6514309296
Sole Proprietor Y
Credentials LIC PSYCH

NPI Number Detail

NPI Number 1417958893
Provider Enumeration Date 2005-08-09
Last Updated Date 2021-02-10

Provider Mailing Address Detail

Address 6381 Osgood Ave N Ste 8
City Stillwater
State Minnesota (MN)
Post Code 550826182
Phone Number 6512759680
Fax Number 6514309296

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No LP3518
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
56B45NI MN BLUE CROSS BLUE SHIELD MN
6236625 MN UNITED BEHAVIORAL HEALTH
154015700 MN --

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FAQs about Jackie Sue Niemand

What is the unique 10-digit identifier code issued to Jackie Sue Niemand by the Centers for Medicare & Medicaid Services?

The Jackie Sue Niemand has been assigned the NPI (National Provider Identifier) 1417958893 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jackie Sue Niemand is located?

The Jackie Sue Niemand is situated at the following address: 6381 Osgood Ave N Ste 8, Stillwater, MN, 550826182.

What is Jackie Sue Niemand's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jackie Sue Niemand is Counseling, and the taxonomy code that categorizes this field of expertise is 103Tc1900X.

When was the Jackie Sue Niemand's 1417958893 issued?

The Jackie Sue Niemand's 1417958893 was issued on 2005-08-09.

When was the information pertaining to Jackie Sue Niemand most recently updated or revised?

The details related to Jackie Sue Niemand, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-10.

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