Maryniuk, Jessica

Maryniuk, Jessica is an individual health care provider with primary practice located at 3450 Oleary Ln , Eagan MN 55123-2340. 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. Maryniuk, Jessica can be contacted via phone (651) 365-8213.

Contact Information

Primary practice address
3450 Oleary Ln Eagan MN 55123-2340
Phone: (651) 365-8213
Fax: (651) 454-3492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6373 Minnesota

Profile Details

NPI number 1396140422
LBN Legal business name Maryniuk, Jessica
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Mar 5th, 2019 - about 5 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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