Individual
JEREMY WILLIAM RONDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
15245 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4184
(651) 213-4411
Mailing address
15245 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4184
(651) 213-4411
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
03/11/2021
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