Organization
PRACTICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE LYNN FISCHER MSW (LICSW, OWNER)
(612) 760-7818
Entity
Organization
Contact information
Practice address
570 ASBURY ST, SUITE 206, SAINT PAUL, MN 55104-1849
(612) 760-7818
(651) 212-4149
Mailing address
570 ASBURY ST, SUITE 206, SAINT PAUL, MN 55104-1849
(612) 760-7818
(651) 212-4149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246900600
—
MN
Enumeration date
08/21/2014
Last updated
08/21/2014
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