| Doctor Name: | FAITH JAEGER |
| NPI Number: | 1326424847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 25100000X |
| Business Practice Address: | 711 6th Ave Ne Isanti, MN - 550403207 |
| Business Phone Number: | 7634444991 |
| Business Fax Number: | |
| Mailing Address: | 2955 E Rum River Dr S, CAMBRIDGE |
| State: | MN |
| Postal Code: | 550082680 |
| Phone Number: | 7636399774 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2015 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 25100000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |