Individual
JENNIFER CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LMFT
Contact information
Practice address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(612) 625-1500
Mailing address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(612) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
954
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110169200
—
MN
01
—
601R7CO
BCBS PROVIDER NUMBER
MN
01
—
62-56533
MEDICA PROVIDER NUMBER
MN
01
—
HP63279
HEALTHPARTNERS PROVIDER#
MN
Enumeration date
12/26/2006
Last updated
11/29/2023
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