Individual
JODY CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 798-8204
(612) 861-3446
Mailing address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 798-8204
(612) 861-3446
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2400
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7544534
MNTIN
MN
05
—
875055600
—
MN
Enumeration date
04/22/2013
Last updated
04/22/2013
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