Jenna Amundson | Stillwater, MN • PECOS Search

Jenna Amundson

Counselor

Behavioral Health & Social Service Providers

1903 Greeley St S Ste 202, Stillwater, MN 55082-6279

PECOS Enrollment

Based on the most recent information from CMS, provider Jenna Amundson 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
1861274730
Provider Type
Individual
Full Name
Amundson, Jenna
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/16/2023
Last Updated
10/16/2023

Contact Information

Practice Location

1903 Greeley St S Ste 202, Stillwater, MN 55082-6279

Unlisted Fax

Mailing Location

1903 Greeley St S Ste 202, Stillwater, MN 55082-6279

Unlisted Fax

Provider Taxonomies

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