Baltz, Jessica R

Baltz, Jessica R is an individual health care provider with primary practice located at 3819 Laverne Ave N , Lake Elmo MN 55042. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Baltz, Jessica R can be contacted via phone (517) 770-2224.

Contact Information

Primary practice address
3819 Laverne Ave N Lake Elmo MN 55042
Phone: (517) 770-2224
Fax: (651) 773-6501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1940 Minnesota

Profile Details

NPI number 1215295001
LBN Legal business name Baltz, Jessica R
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Aug 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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