| Doctor Name: | JEAN R MERSBERGER |
| NPI Number: | 1073815320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. LPC |
| License Number: | 01448 |
| Business Practice Address: | 6607 18th Ave S Suite 101 Richfield, MN - 554232784 |
| Business Phone Number: | 6123856310 |
| Business Fax Number: | |
| Mailing Address: | 6607 18th Ave S, Suite 101 RICHFIELD |
| State: | MN |
| Postal Code: | 554232784 |
| Phone Number: | 6123856310 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2010 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 01448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |