Individual
JEANETTE ELAINE TRUCHSESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
348 PRIOR AVENUE NORTH, ST PAUL, MN 55104
(651) 226-4704
Mailing address
348 PRIOR AVENUE NORTH, ST PAUL, MN 55104
(651) 226-4704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K724TR
BLUE CROSS
MN
01
—
6129933
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
03/20/2007
Last updated
07/08/2007
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