Organization
JENNIE ENSTAD PSY.D.,L.P. PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ENSTAD PSY.D (LICENSED PSYCHOLOGIST)
(763) 355-4468
Entity
Organization
Contact information
Practice address
2006 1ST AVE STE 101, ANOKA, MN 55303-2255
(763) 355-4688
Mailing address
17730 GIBBON ST NW, RAMSEY, MN 55303-5510
(763) 355-4468
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263653100
—
MN
Enumeration date
10/04/2018
Last updated
10/04/2018
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