Doctor Name: | JEANNA RING |
NPI Number: | 1891120788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPCC |
License Number: | |
Business Practice Address: | 120 S Hawthorn St Royalton, MN - 563739111 |
Business Phone Number: | 3205844297 |
Business Fax Number: | |
Mailing Address: | 1340 9th Ave S, Unit 209 SAINT CLOUD |
State: | MN |
Postal Code: | 563015568 |
Phone Number: | 3202907464 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2013 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |