CHJL LLC
Organization (NPI-2)
Active
Counselor, Professional
Provider Information
- NPI Number
1194184465- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8120 PENN AVE S STE 252, BLOOMINGTON, MN, 554311358
- Phone
- (612) 251-4753
- Fax
- (651) 730-6657
Specialties & Taxonomies
Psychologist, Clinical
License: MN #4714
Counselor, Professional
Primary License: MN #cc00282