Wieden, Jenna
Wieden, Jenna is an individual health care provider with primary practice located at 333 Main St N Ste 110 , Stillwater MN 55082-5054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wieden, Jenna can be contacted via phone (651) 425-9297.Contact Information
Primary practice address
333 Main St N Ste 110
Stillwater MN 55082-5054
Phone: (651) 425-9297
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP6503 | Minnesota |
Profile Details
NPI number | 1790191252 |
---|---|
LBN Legal business name | Wieden, Jenna |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2014 |
Last updated | Apr 29th, 2020 - 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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