Jane Lee Allen, PHD LP

Individual provider Active NPI Professional Counselor · Minnetonka, MN

NPI 1750693263 · NPPES record last updated Apr 5, 2016

Key facts

NPI
1750693263
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC00120 (MN)
Practice address
5710 Baker Road
Minnetonka, MN 55345
Phone
(952) 767-4200
Fax
(952) 767-4211
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CC00120MNMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00120 MN Yes

Addresses

Primary practice location

5710 Baker Road
Minnetonka, MN 55345

Mailing address

5710 Baker Road
Minnetonka, MN 55345
Phone (952) 767-4200

Other names

  • Ms. Jane Lee Kuseske Former name

Other providers in Minnetonka, MN

All providers in Minnetonka, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.