Organization
JBM INDIVIDUAL & FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA L EUBANKS LCC (OWNER)
(612) 607-9794
Entity
Organization
Contact information
Practice address
9141 30TH AVE N, NEW HOPE, MN 55427-2301
(612) 607-9794
Mailing address
9141 30TH AVE N, NEW HOPE, MN 55427-2301
(612) 607-9794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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