Itskovich, Jennifer Ann

Itskovich, Jennifer Ann is an individual health care provider with primary practice located at 700 Commerce Dr Ste 255 , Woodbury MN 55125-5406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Itskovich, Jennifer Ann can be contacted via phone (651) 714-3848.

Contact Information

Primary practice address
700 Commerce Dr Ste 255 Woodbury MN 55125-5406
Phone: (651) 714-3848
Fax: (651) 344-0820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LW00009171 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20368 Minnesota

Profile Details

NPI number 1427265255
LBN Legal business name Itskovich, Jennifer Ann
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 30th, 2022 - about 3 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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