Organization
CEDARBROOK COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD JENSEN MA, LP (EXECUTIVE DIRECTOR)
(218) 822-3736
Entity
Organization
Contact information
Practice address
8391 COLLEGE RD, BAXTER, MN 56425-8694
(218) 822-3736
Mailing address
PO BOX 2633, BAXTER, MN 56425-2633
(218) 822-3736
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP 4642
MN
Other
Enumeration date
04/21/2006
Last updated
08/22/2020
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