Provider Demographics
NPI:1225183981
Name:CJA CONSULTING, INC.
Entity Type:Organization
Organization Name:CJA CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:AAGARD
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LP
Authorized Official - Phone:218-634-1499
Mailing Address - Street 1:108 8TH AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAUDETTE
Mailing Address - State:MN
Mailing Address - Zip Code:56623
Mailing Address - Country:US
Mailing Address - Phone:218-634-1499
Mailing Address - Fax:218-634-4520
Practice Address - Street 1:106 8TH AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:BAUDETTE
Practice Address - State:MN
Practice Address - Zip Code:56623
Practice Address - Country:US
Practice Address - Phone:218-634-1499
Practice Address - Fax:218-634-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0390103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP 118013OtherHEALTH PARTNERS
MN8236590OtherMINNESOTA ID #
MN981227164351OtherPREFERRED ONE
MN28326400OtherMAGELLAN
MN6274671OtherMEDICA
MN89G99CJOtherBLUE CROSS BLUE SHIELD
MN2255394OtherCIGNA
MN=========Medicare UPIN