Individual
MR. JEBEDIAH JOEL SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4820 MINNETONKA BLVD STE 411, ST LOUIS PARK, MN 55416-5710
(612) 483-4994
Mailing address
4550 MINNETONKA BLVD APT 308, ST LOUIS PARK, MN 55416-5417
(612) 483-4994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00232
MN
106H00000X
Marriage & Family Therapist
Primary
1449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154H5BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/22/2009
Last updated
06/22/2009
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