NPI 1861871493

Jasira Family Counseling

Organisation Early Intervention Provider Agency Fridley, MN

Practice location

Address: 131 Christenson CT NE, Fridley, MN 55432-4958
Phone: (612) 986-3836
Fax: (763) 561-1843

Authorised official

Name: Juneau Ronnye75 Hill Armstrong
Title: Clinical Director
Phone: (612) 986-3836

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 18096 (MN)

Other Early Intervention Provider Agency providers in Minnesota →

Registry record

NPI: 1861871493
Entity type: Organization
NPI issued: 28 May 2015
Record last updated: 28 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.