Organization
MARRIAGE & FAMILY WELLNES CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L JAMISON M.DIV, MS, D.MIN, (OWNER)
(507) 288-3118
Entity
Organization
Contact information
Practice address
2801 55TH ST NW, SUITE 2, ROCHESTER, MN 55901-4187
(507) 288-3118
Mailing address
2801 55TH ST NW, SUITE 2, ROCHESTER, MN 55901-4187
(507) 288-3118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750387197
101YMO800X
MN
Enumeration date
11/29/2006
Last updated
08/22/2020
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