Organization
HAMM MEMORIAL PSYCHIATRIC CLINIC
Active
Other names
Hamm Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN JAEHNE LICSW (CLINICAL DIRECTOR)
(651) 224-0614
Entity
Organization
Contact information
Practice address
408 SAINT PETER ST, STE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Mailing address
408 SAINT PETER ST, STE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
800960-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23328HA
BC/BS
—
Enumeration date
07/28/2005
Last updated
08/22/2020
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