| Jade Counseling Llc | |
|
600 W 78th St Ste 220a Chanhassen MN 55317-9585 | |
| (612) 327-7999 | |
| Not Available |
| Full Name | Jade Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 600 W 78th St Ste 220a, Chanhassen, Minnesota |
| Authorized Official Name and Position | Sara Nuahn (LICSW) |
| Authorized Official Contact | 6123277999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Counseling Llc 4721 Bryant Ave S Minneapolis MN 55419-5356 Ph: (612) 327-7999 | Jade Counseling Llc 600 W 78th St Ste 220a Chanhassen MN 55317-9585 Ph: (612) 327-7999 |
| NPI Number | 1144690215 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 10/01/2015 |
| Medicare PECOS PAC ID | 4880996370 |
|---|---|
| Medicare Enrollment ID | O20151229002477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144690215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16308 (Minnesota) | Primary |
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