PRAIRIE ST. JOHN'S CLINIC

SAINT PAUL, MN
NPI1518059690
Entity TypeOrganization
Authorized ContactJERRY W MAGNISON
Chief Financial Officer
701-476-7221
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ND  5063A)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: ND  5063A)
103T00000X Psychologist
(Licence: ND  5063A)
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: ND  5063A)
103TC1900X Psychologist, Counseling
(Licence: ND  5063A)
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: ND  5063A)
104100000X Social Worker
(Licence: ND  5063A)
Enumeration Date2006-09-28
Last Update Date2020-08-22
Business Address
PRAIRIE ST. JOHN'S CLINIC
7616 CURRELL BLVD SUITE 100
SAINT PAUL, MN 55125-2290
Phone number: 651-259-9700
Mailing Address
PRAIRIE ST. JOHN'S CLINIC
510 4TH ST S PO BOX 2027
FARGO, ND 58103-1914
Phone number: 701-476-7221