Larson, Jennifer Kathryn
Larson, Jennifer Kathryn is an sole proprietor health care provider with primary practice located at 4255 Pheasant Ridge Dr Ne Ste 412 , Blaine MN 55449-5066. 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. Larson, Jennifer Kathryn can be contacted via phone (763) 703-3754.Contact Information
Primary practice address
4255 Pheasant Ridge Dr Ne Ste 412
Blaine MN 55449-5066
Phone: (763) 703-3754
Fax: (372) 703-3725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1144702622 |
|---|---|
| LBN Legal business name | Larson, Jennifer Kathryn |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2018 |
| Last updated | Aug 31st, 2018 - 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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