Organization
CMAJ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE ANDERSON JACOB PH.D, LP (PRESIDENT/PSYCHOLOGIST)
(651) 485-8173
Entity
Organization
Contact information
Practice address
3820 CLEVELAND AVE N STE 400, ARDEN HILLS, MN 55112
(651) 389-4406
(651) 389-4410
Mailing address
3820 CLEVELAND AVE N STE 400, ARDEN HILLS, MN 55112-3297
(651) 389-4406
(651) 389-4410
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4727
MN
Other
Enumeration date
11/22/2015
Last updated
06/11/2018
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