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Search › Minnesota › 101YA0400X

Eric Clemensen, BS, LADC, BCC

NPI 1366708109 · on the registry since 2012

Practice

Address
1609 Jackson St
Saint Paul, MN 55117
Phone
(612) 326-7614
Fax
(651) 488-5658
Organisation at this address
Tapestry, Llc
Nbh Jackson St Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota