| Organization Name: | JEAN M BJERKE, PA |
| NPI Number: | 1083846547 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN M BJERKE (PSYCHOTHERAPIST) |
| Mailing Address: | 110 2nd St S Suite 303 Waite Park |
| State: | MN US |
| Postal Code: | 563871662 |
| Phone Number: | 3202534080 |
| Fax Number: | 3202534088 |
| NPI Enumeration Date: | 08/18/2009 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 8026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |