# JASIRA FAMILY COUNSELING

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

## Provider details

- **NPI number:** 1861871493
- **Authorized official:** MRS. JUNEAU RONNYE75 HILL ARMSTRONG LICSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (612) 986-3836

## Contact information

- **Practice address:** 131 CHRISTENSON CT NE, FRIDLEY, MN 55432-4958
- **Practice address phone:** (612) 986-3836
- **Practice address fax:** (763) 561-1843
- **Mailing address:** 131 CHRISTENSON CT NE, FRIDLEY, MN 55432-4958
- **Mailing address phone:** (612) 986-3836
- **Mailing address fax:** (763) 561-1843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 18096 | MN | Yes |

## Other

- **Enumeration date:** 05/28/2015
- **Last updated:** 05/28/2015