Individual
CHAD MICHAEL JAYASEKERA
Active
Individual
CHAD MICHAEL JAYASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24240
MN
106H00000X
Marriage & Family Therapist
2132
MN
Other
Enumeration date
12/29/2011
Last updated
05/01/2024
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