MEDICARE: MS. JEANNE M SCOTT M.A.L.P.

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
1	101YP2500X	Professional Counselor	LP0644	MN

General Provider Information

NPI Number	:	1447341102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JEANNE M SCOTT M.A.L.P.

Provider Business Mailing Address
First Line	:	1891 FAIRMOUNT AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1539
Country	:	US
Telephone Number	:	612-870-1779
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 BLAISDELL AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3331
Country	:	US
Telephone Number	:	612-870-1779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	02/08/2026

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