Jean Chagnon, PH.D., LP
Individual provider Active NPI Counseling Psychologist · Woodbury, MN
NPI 1659300481 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659300481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- LP3414 (MN)
- Practice address
- 1789 Woodlane Dr
Suite C
Woodbury, MN 55125-3910 - Phone
- (651) 739-7539
- Fax
- (651) 730-9200
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3414 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalis Counseling and Psychology Solutions, P.a. | Current |
Accepting new patients | |
| St. Paul Neuropsychology Services, P.a. | Past | Accepting new patients |
Locations
7582 Currell Blvd
Ste 208
Woodbury, MN 55125
Phone (651) 348-9284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP3414 | MN | Yes |
Addresses
Primary practice location
1789 Woodlane Dr
Suite C
Woodbury, MN 55125-3910
Mailing address
1789 Woodlane Dr
Suite C
Woodbury, MN 55125-3910
Phone (651) 739-7539
Other providers in Woodbury, MN
- CCS Consulting LLC
- Julie L Ceno- England
- Central Pediatrics, P.a.
- Cerenity Senior Care
- Tyra J Cerny
- Jacquelyn Ann Chamberlain
- Yeng Chang
- Charles R Mead
- Chloe Ruth Chase
- Nadeem Ahmad Chaudhary
All providers in Woodbury, MN · Counseling Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.