Individual
MR. JEFFREY THOMAS DOHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
2006 1ST AVE, SUITE 207, ANOKA, MN 55303-2290
(763) 421-5535
(763) 433-0226
Mailing address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1880
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48G91DO
BLUE CROSS BLUE SHIELD
MN
01
—
6213176
MEDICA
MN
01
—
HP40372
HEALTH PARTNERS
MN
Enumeration date
11/16/2006
Last updated
07/09/2007
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