| Jessica R Baltz, LMFT | |
|
1856 Beam Ave Ste 200, Maplewood, MN 55109-1162 | |
| (651) 661-6550 | |
| (651) 661-6551 |
| Full Name | Jessica R Baltz |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1856 Beam Ave Ste 200, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215295001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1940 (Minnesota) | Primary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica R Baltz, LMFT 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Jessica R Baltz, LMFT 1856 Beam Ave Ste 200, Maplewood, MN 55109-1162 Ph: (651) 661-6550 |
Jennifer L Tichenor, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E, Suite A, Maplewood, MN 55109 Phone: 651-338-9816 Fax: 651-305-0277 | |
Ms. Mary K. Zwack, M.S., LADC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 101, Maplewood, MN 55109 Phone: 651-770-1311 Fax: 651-770-1879 | |
Lindsay Jordan, M.A. LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3100 Kennard St Ste 250, Maplewood, MN 55109 Phone: 651-313-8080 | |
Mr. Bryan Jarred Cole, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2001 Beam Ave, Maplewood, MN 55109 Phone: 952-737-4520 | |
David Glenn Runion, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Mrs. Erica Jw Kanewischer, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 |