| Jody Christensen, | |
|
6425 Nicollet Ave, Richfield, MN 55423-1675 | |
| (612) 798-8204 | |
| (612) 861-3446 |
| Full Name | Jody Christensen |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 6425 Nicollet Ave, Richfield, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992149975 | NPI | - | NPPES |
| 7544534 | Other | MN | MNTIN |
| 875055600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2400 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Christensen, 6425 Nicollet Ave, Richfield, MN 55423-1675 Ph: (612) 798-8204 | Jody Christensen, 6425 Nicollet Ave, Richfield, MN 55423-1675 Ph: (612) 798-8204 |
Carol J Strand, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858 | |
Dr. Mary Jo Isabel Avendano, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6401 Lyndale Ave S, Suite 315, Richfield, MN 55423 Phone: 612-558-2233 | |
Lorene Jabola, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1550 E 78th St Fl 1, Richfield, MN 55423 Phone: 612-767-1683 | |
Maura Mcdonald, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858 | |
Leah Marie Jackson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-798-8356 Fax: 612-798-5301 | |
Stacy A Proulx, MA, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6607 18th Ave S, Suite 201, Richfield, MN 55423 Phone: 612-455-4040 Fax: 612-455-4041 | |
Chris Bezenson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6425 Nicollet Ave, Richfield, MN 55423 Phone: 612-798-8184 |