Individual
MR. JAMIE MCDONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LP
Contact information
Practice address
241 CLEVELAND AVE S, SAINT PAUL, MN 55105-1208
(651) 699-7051
(651) 699-7052
Mailing address
241 CLEVELAND AVE S, SAINT PAUL, MN 55105-1208
(651) 699-7051
(651) 699-7052
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79B63MC
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/12/2007
Last updated
07/09/2007
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