Chad Michael Jayasekera, MA, LICSW
NPI #1265701775 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1265701775
- Entity Type
- Individual
- Name
- Chad Michael Jayasekera, MA, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MA, LICSW
- Enumeration Date
- Dec 29, 2011
- Last Updated
- May 1, 2024
Practice Location
- Address
- 1645 106TH LN NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-4278
- Phone
- (651) 210-5370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Social Worker - Clinical — Clinical |
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