Healthcare Provider Details

I. General information

NPI: 1639936610
Provider Name (Legal Business Name): KATHERINE JONES, NATUROPATHIC DOCTOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 WASHINGTON AVE S STE 101
EDINA MN
55439-2469
US

IV. Provider business mailing address

2928 FLORIDA AVE S
ST LOUIS PARK MN
55426-3334
US

V. Phone/Fax

Practice location:
  • Phone: 952-377-8450
  • Fax:
Mailing address:
  • Phone: 608-469-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHERINE JONES
Title or Position: OWNER
Credential: ND, MA, LPC
Phone: 952-377-8450