Connor, Jennifer

Connor, Jennifer is an individual health care provider with primary practice located at 1300 S 2Nd St Ste 180 , Minneapolis MN 55454-5000. 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. Connor, Jennifer can be contacted via phone (612) 625-1500.

Contact Information

Primary practice address
1300 S 2Nd St Ste 180 Minneapolis MN 55454-5000
Phone: (612) 625-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 954 Minnesota

Profile Details

NPI number 1689739179
LBN Legal business name Connor, Jennifer
Credentials PHD LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Nov 29th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1689739179 NPPES
Minnesota Other 62-56533 MEDICA PROVIDER NUMBER
Minnesota Other HP63279 MEDICA PROVIDER NUMBER
Minnesota Other 601R7CO MEDICA PROVIDER NUMBER
Minnesota MEDICAID 110169200 MEDICA PROVIDER NUMBER

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