| Jennie Hardman Therapy | |
|
821 Raymond Ave Ste 315-b Saint Paul MN 55114-1503 | |
| (651) 243-0804 | |
| Not Available |
| Full Name | Jennie Hardman Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 Raymond Ave Ste 315-b, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jennie Backus Hardman (THERAPIST/OWNER) |
| Authorized Official Contact | 2182137476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Hardman Therapy 1008 Como Pl Saint Paul MN 55103-1319 Ph: (218) 213-7476 | Jennie Hardman Therapy 821 Raymond Ave Ste 315-b Saint Paul MN 55114-1503 Ph: (651) 243-0804 |
| NPI Number | 1013532514 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 12/23/2022 |
| Medicare PECOS PAC ID | 4587082177 |
|---|---|
| Medicare Enrollment ID | O20200914002652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer Backus Hardman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346795168 PECOS PAC ID: 6305264995 Enrollment ID: I20200914002749 |
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