Jennifer M Russell in Stillwater - Marriage & Family Therapist
Jennifer M Russell - NPI 1134276173
Jennifer M Russell is a Marriage & Family Therapist in Stillwater, Minnesota. Jennifer M Russell practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jennifer M Russell is 1134276173. The last update date is 2007-07-08.
Jennifer M Russell's current location address is Po Box 62, Stillwater, Minnesota. You can contact this provider via phone number 6514924834 and fax number 6513441966. The mailing address for Jennifer M Russell is Po Box 62, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Russell |
|---|---|
| Address | Po Box 62, Stillwater, Minnesota |
| Phone Number | 6514924834 |
| Fax Number | 6513441966 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1134276173 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 62 |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550820062 |
| Phone Number | 6514924834 |
| Fax Number | 6513441966 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1359 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116942 | MN | HEALTHPARTNERS | |
| 78G84IN | MN | BLUECROSS BLUE SHIELD | |
| 78G85RU | MN | BLUECROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer M Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer M Russell has been assigned the NPI (National Provider Identifier) 1134276173. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jennifer M Russell?
The Jennifer M Russell is situated at Po Box 62, in the city of Stillwater, state of MN, with the zip code 550820062.
What is Jennifer M Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer M Russell's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
On what date did the Jennifer M Russell receive the assignment of its 1134276173 from the Centers for Medicare & Medicaid Services?
The Jennifer M Russell was issued its 1134276173 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details related to Jennifer M Russell most recently updated or revised?
The information pertaining to Jennifer M Russell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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