DR. JESSICA LYNN GOURNEAU


Address: 579 Wells St, Saint Paul, MN 55130-4134
Phone: 6517933803

DR. JESSICA LYNN GOURNEAU (NPI# 1073993341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073993341
Entity Type Individual
Full Name DR. JESSICA LYNN GOURNEAU
Credential PH.D., LP
Practice Address 579 Wells St
Saint Paul
MN 55130-4134
Mailing Address 7401 Metro Blvd
Ste 525
Edina
MN 55439-3059
Practice Telephone 6517933803
Practice Fax Number 6517933809
Mailing Telephone 6517933803
Mailing Fax Number 6517933809
Enumeration Date 2015-06-02
Last Update Date 2019-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP 8592 MN Behavioral Health & Social Service Providers

Office Location

Street Address 579 WELLS ST
City SAINT PAUL
State MN
Zip Code 55130-4134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336288471 Angela Hirsch Stratig Social Worker 579 Wells St, Saint Paul, MN 55101-4134 2007-02-05
1639798101 American Indian Family Center Clinic/Center 579 Wells St, Saint Paul, MN 55130-4134 2020-04-14
1073144788 Jason Edward Miller Counselor 579 Wells St, Saint Paul, MN 55130-4134 2020-01-31
1235521527 Richard Wrigfht Counselor 579 Wells St, Saint Paul, MN 55130-4134 2015-02-24
1912304825 Rose Joiner Marriage & Family Therapist 579 Wells St, Saint Paul, MN 55130-4134 2014-11-21
1215379110 Sierra Rose Yazzie Asamoa-tutu Counselor 579 Wells St, Saint Paul, MN 55130 2013-07-22
1508021882 Sam A. Gurnoe Marriage & Family Therapist 579 Wells St, Saint Paul, MN 55130-4134 2008-07-25
1093985210 Ain Dah Yung Center Case Management 579 Wells St, Saint Paul, MN 55130-4134 2008-03-04
1467592865 American Indian Family Center Social Worker 579 Wells St, Saint Paul, MN 55101-4134 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164904587 Confident Care LLC In Home Supportive Care 1040 Arkwright Street, Saint Paul, MN 55130 2018-09-01
1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
1275743981 Yia Vang Technician 1100 Arkwright St., St. Paul, MN 55130 2007-05-23
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669992186 Stephanie Bruss Psychologist 821 Raymond Ave # 130c, Saint Paul, MN 55114-1503 2017-06-26
1679977326 Jennifer D. Karel Psychologist 1123 Grand Ave Ste 301, Saint Paul, MN 55105-2629 2014-10-09
1699038265 Minnesota Organization On Fetal Alcohol Syndrome (mofas) Psychologist 2233 University Ave W Ste 395, Saint Paul, MN 55114-1600 2012-06-19
1821356098 Mainhia Khang Psychologist 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 2012-04-25
1609153378 Quo Psychotherapy, P.a. Psychologist 821 Raymond Ave Ste 230c, Saint Paul, MN 55114-1525 2011-11-09
1831486216 Bonnie Sue Mcmillin Psychologist 457 Portland Ave, 3, Saint Paul, MN 55102-2499 2011-07-06
1285935064 Sarah L. Hart, Ph.d., LLC Psychologist 241 Cleveland Ave S Ste P, Saint Paul, MN 55105-1208 2010-11-09
1003149717 Tamarind Knutson Psychologist 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 2009-09-13
1659604874 Andrea Elizabeth Anderson Psychologist 2383 University Ave W Ste 200, U.S. Bank Building, Second Floor, Saint Paul, MN 55114-1603 2009-09-08
1639307622 Nicole Heffron, LLC Psychologist 889 Grand Ave, Suite 202, Saint Paul, MN 55105-3008 2009-06-29
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55130

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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