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Individual
MARK W JUERGENS
Active
Individual
MARK W JUERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1839125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40986200
—
WI
01
—
574
BCBS MN
MN
01
—
6250399
MEDICA UBH UHC
MN
01
—
95846
SECURITY HEALTH PLAN
WI
01
—
HP52029
HEALTH PARTNERS
MN
Enumeration date
04/25/2006
Last updated
05/08/2013
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