# KEYSTONE COUNSELING AND CONSULTING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114784584
- **Authorized official:** MRS. JENNIFER L JOHN LMFT (OWNER)
- **Authorized official phone:** (651) 421-0815

## Contact information

- **Practice address:** 4700 LEXINGTON AVE N STE B, SHOREVIEW, MN 55126-5964
- **Practice address phone:** (651) 421-0815
- **Mailing address:** 4700 LEXINGTON AVE N STE B, SHOREVIEW, MN 55126-5964
- **Mailing address phone:** (651) 421-0815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024