Yanisch, Celeste Rose

Yanisch, Celeste Rose is an sole proprietor health care provider with primary practice located at 3570 Lexington Ave N Suite 100, Shoreview MN 55126-8049. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yanisch, Celeste Rose can be contacted via phone (651) 481-0664.

Contact Information

Primary practice address
3570 Lexington Ave N Suite 100 Shoreview MN 55126-8049
Phone: (651) 481-0664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3761 Minnesota

Profile Details

NPI number 1780715417
LBN Legal business name Yanisch, Celeste Rose
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780715417 NPPES
Minnesota Other 79G96YA BCBSMN
Minnesota Other 941419300 BCBSMN
Minnesota Other HP46412 BCBSMN

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