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NPI Code Detail

MEDICARE: MR. DAVID LEE JAMISON MS, D.MIN.

MEDICARE:  MR. DAVID LEE JAMISON  MS, D.MIN.
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 Therapist175MN
2101YM0800XMental Health Counselor175MN

General Provider Information

NPI Number : 1750387197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID LEE JAMISON MS, D.MIN.
Provider Business Mailing Address
First Line : 3265 19TH ST NW STE 170
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-6786
Country : US
Telephone Number : 507-273-8971
Fax Number :
Provider Business Practice Location Address
First Line : 2801 55TH ST NW
Second Line : STE 2
City : ROCHESTER
State : MN
Zip : 55901-4187
Country : US
Telephone Number : 507-288-3118
Fax Number : 507-287-0703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 05/16/2024

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Directions to “ MR. DAVID LEE JAMISON MS, D.MIN.” Practice Location

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