Ullom, Jennifer Ann

Ullom, Jennifer Ann is an sole proprietor health care provider with primary practice located at 700 Twelve Oaks Center Dr Ste 204, Wayzata MN 55391-4415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Ullom, Jennifer Ann can be contacted via phone (612) 306-8499.

Contact Information

Primary practice address
700 Twelve Oaks Center Dr Ste 204 Wayzata MN 55391-4415
Phone: (612) 306-8499
Fax: (651) 374-9641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LPP161LP5067 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP5067 Minnesota

Profile Details

NPI number 1366643868
LBN Legal business name Ullom, Jennifer Ann
Credentials MA, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Aug 18th, 2020 - about 4 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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