Individual
SANDY RAE JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
720 E 33RD STREET, MINNEAPOLIS, MN 55407
(952) 974-9797
Mailing address
14865 BLAKENEY RD, EDEN PRAIRIE, MN 55347-5312
(952) 974-9797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00101
MN
103TC1900X
Counseling Psychologist
CC00101
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560G3JU
BCBS
MN
01
—
HP66854
HEALTH PARTNERS
MN
Enumeration date
02/21/2007
Last updated
11/09/2017
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