# OLIVIA JEWETT THERAPY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255704490
- **Authorized official:** OLIVIA INGALLS JEWETT (OWNER)
- **Authorized official phone:** (320) 492-3298

## Contact information

- **Practice address:** 5200 WILSON RD., SUITE 450, EDINA, MN 55424-1396
- **Practice address phone:** (320) 492-3298
- **Mailing address:** 7525 MITCHELL RD, SUITE 310, EDEN PRAIRIE, MN 55344-1959
- **Mailing address phone:** (320) 492-3298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 02/19/2024