Jagusch, Andrea Suzanne

Jagusch, Andrea Suzanne is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-1126. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Jagusch, Andrea Suzanne can be contacted via phone (651) 326-7662.

Contact Information

Primary practice address
1575 Beam Ave Maplewood MN 55109-1126
Phone: (651) 326-7662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19881 Minnesota
Behavioral Health & Social Service Providers / School 1041S0200X 465089 Minnesota

Profile Details

NPI number 1861736878
LBN Legal business name Jagusch, Andrea Suzanne
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 12 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.

Request for update

Popular Providers