Jennifer R Mathews | Stillwater, MN • PECOS Search

Jennifer R Mathews

Counselor

Behavioral Health & Social Service Providers

14949 62nd St N, Stillwater, MN 55082-6102

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer R Mathews does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184278327
Provider Type
Individual
Full Name
Mathews, Jennifer R
Credential
BA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/25/2019
Last Updated
7/25/2019

Contact Information

Practice Location

14949 62nd St N, Stillwater, MN 55082-6102

(651) 428-6128

Mailing Location

14949 62nd St N, Stillwater, MN 55082-6102

(651) 428-6128

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer