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NPI Code Detail

MEDICARE: JENNIFER CONNOR PHD LMFT

MEDICARE:   JENNIFER  CONNOR  PHD LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist954MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162-56533OTHERMNMEDICA PROVIDER NUMBER
2HP63279OTHERMNHEALTHPARTNERS PROVIDER#
3601R7COOTHERMNBCBS PROVIDER NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689739179
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CONNOR PHD LMFT
Provider Business Mailing Address
First Line : 1300 S 2ND ST STE 180
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-5000
Country : US
Telephone Number : 612-625-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1300 S 2ND ST STE 180
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-5000
Country : US
Telephone Number : 612-625-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 11/29/2023

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Directions to “ JENNIFER CONNOR PHD LMFT” Practice Location

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