Herman, Jennifer Jean

Herman, Jennifer Jean is an individual health care provider with primary practice located at 2550 University Ave W Suite 4355, St Paul MN 55114. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herman, Jennifer Jean can be contacted via phone (651) 647-1900.

Contact Information

Primary practice address
2550 University Ave W Suite 4355 St Paul MN 55114
Phone: (651) 647-1900
Fax: (651) 647-1861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13644 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1087 Minnesota

Profile Details

NPI number 1750496451
LBN Legal business name Herman, Jennifer Jean
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 20th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750496451 NPPES
Minnesota MEDICAID 120113100

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