Mr. JAMIE MICHAEL MERSOLA
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1669118360- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9245 QUANTRELLE AVE NE, OTSEGO, MN, 553300168
- Phone
- (763) 746-9492
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #xxxxxxxxxxxxxxx