Organization
OPTUM BEHAVIORAL CARE OF NEW JERSEY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STACEY BRONSON (AUTHORIZED OFFICIAL)
(978) 222-3121
Entity
Organization
Contact information
Practice address
150 S 5TH ST STE 825, MINNEAPOLIS, MN 55402-4200
(877) 441-0121
(877) 441-4413
Mailing address
150 S 5TH ST STE 825, MINNEAPOLIS, MN 55402-4200
(877) 441-0121
(877) 441-4413
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
08/07/2024
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