Ellis, Jesse Severt
Ellis, Jesse Severt is an individual health care provider with primary practice located at 8120 Penn Ave S Ste 270 , Bloomington MN 55431-1320. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ellis, Jesse Severt can be contacted via phone (800) 336-5973.Contact Information
Primary practice address
8120 Penn Ave S Ste 270
Bloomington MN 55431-1320
Phone: (800) 336-5973
Fax: (612) 234-4689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1376794354 |
|---|---|
| LBN Legal business name | Ellis, Jesse Severt |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Dec 6th, 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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