Individual
SHENOAH JEAN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10967 UNIVERSITY AVE NE APT F, MINNEAPOLIS, MN 55434-1993
(612) 567-7786
(763) 390-0027
Mailing address
10967 UNIVERSITY AVE NE APT F, MINNEAPOLIS, MN 55434-1993
(612) 567-7786
(763) 390-0027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
MN
175T00000X
Peer Specialist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A877963200
UMPI
MN
Enumeration date
07/31/2023
Last updated
07/31/2023
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